Individual
TASHITAA TUFAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRESIDENT & CEO
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
370010
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9JI05ME
BCBS
MN
01
—
A392138100
MHCP
MN
Enumeration date
01/14/2016
Last updated
01/14/2016
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