Individual
TARRA BOYUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21369 530TH ST, WEST CONCORD, MN 55985-5039
(507) 251-3074
Mailing address
21369 530TH ST, WEST CONCORD, MN 55985-5039
(507) 251-3074
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R133294-2
MN
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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