Individual
TRACI-ANN KOOIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2835 W SAINT GERMAIN ST, SUITE 300, SAINT CLOUD, MN 56301-6280
(320) 259-4151
Mailing address
2835 W SAINT GERMAIN ST, SUITE 300, SAINT CLOUD, MN 56301-6280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1261071
MN
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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