Individual
TIFFANY RUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24276 AIRPORT RD, EAGLE BUTTE, SD 57625-8021
(605) 964-0505
Mailing address
1597 CANAL RD, HARTFORD, IL 62048-2949
(618) 772-8656
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
2016010593
MO
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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