Individual
BRENDA RENEE BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 1ST AVE NE SUITE 100, BUFFALO, MN 55313
(763) 682-3005
(763) 682-3006
Mailing address
25 1ST AVE NE SUITE 100, BUFFALO, MN 55313
(763) 682-3005
(763) 682-3006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L567608
MN
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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