Individual
TARA ROSE MINERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 1ST AVE NE, BUFFALO, MN 55313-1568
(763) 682-3005
(763) 682-3006
Mailing address
25 1ST AVE NE, BUFFALO, MN 55313-1568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R2022073
MN
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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