Individual
FELICITAS MUHAN TABUKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3833 COON RAPIDS BLVD NW STE 260, COON RAPIDS, MN 55433-2597
(651) 283-1185
Mailing address
3833 COON RAPIDS BLVD NW STE 260, COON RAPIDS, MN 55433-2597
(651) 283-1185
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1772890
MN
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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