Individual
MISS SHELLY REE TOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 NORTH 4TH AVENUE, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
525 BARSTAD RD N, COTTONWOOD, MN 56229
(507) 992-0299
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0620613
MN
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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