Provider Demographics
NPI:1174351142
Name:CHARRONE-RI, TAHINO
Entity type:Individual
Prefix:
First Name:TAHINO
Middle Name:
Last Name:CHARRONE-RI
Suffix:
Gender:U
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 SMITH ST APT 13
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4450
Mailing Address - Country:US
Mailing Address - Phone:732-599-4364
Mailing Address - Fax:
Practice Address - Street 1:27 SMITH ST APT 13
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4450
Practice Address - Country:US
Practice Address - Phone:732-599-4364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator