Individual
MRS. LA SHEENLARUBA TYACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-3331
(218) 722-0373
Mailing address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-3331
(218) 722-0373
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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