Individual
VERONICAH MIRUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 COLLINS AVE, MANDAN, ND 58554-2066
(701) 663-5373
Mailing address
1200 COLLINS AVE, MANDAN, ND 58554-2066
(701) 663-5373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R55266
ND
164W00000X
Licensed Practical Nurse
L16039
ND
Other
Enumeration date
11/07/2017
Last updated
10/26/2023
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