Individual
TAMIRAH FLORENCE BONABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 VERMILLION ST, HASTINGS, MN 55033-2844
(651) 438-2200
Mailing address
1411 VERMILLION ST, HASTINGS, MN 55033-2844
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10064
MN
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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