Individual
TAMIKO RALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
393 DUNLAP ST N, 400H, SAINT PAUL, MN 55104-4200
(651) 283-8925
Mailing address
PO BOX 600741, SAINT PAUL, MN 55106-0013
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1045
MN
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R1514090
MN
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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