Individual
BRIDGETTE OLUTOSIN TENIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15800 87TH ST NE, OTSEGO, MN 55330-6546
(763) 252-1316
Mailing address
8400 BASS LAKE RD APT 352, NEW HOPE, MN 55428-5348
(954) 980-2733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124964
MN
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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