Individual
KALEECA TANIYA BIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
(612) 870-2947
Mailing address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
(612) 870-2947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1841527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R 184152-7
MINNESOTA BOARD OF NURSING REGISTRATION CERTIFICATE
MN
Enumeration date
09/17/2008
Last updated
09/17/2008
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