Individual
MRS. TINA OVIGUE BONKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
6711 14TH AVENUE SOUTH, RICHFIELD, MN 55432
(952) 688-2345
Mailing address
1108 VILLAGE ROAD, APT 16D, CHASKA, MN 55318
(952) 688-2345
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L64317-9
MN
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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