Individual
TARA JUNE BUGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD.
Contact information
Practice address
1449 CLEVELAND AVE N, SAINT PAUL, MN 55108-1413
(651) 645-5323
Mailing address
3050 EWING AVE S APT 109, MINNEAPOLIS, MN 55416-4249
(218) 213-3344
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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