Individual
MAEGEN TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11358 REDWOOD PL, WOODBURY, MN 55129-7768
(651) 271-0453
Mailing address
11358 REDWOOD PL, WOODBURY, MN 55129-7768
(651) 271-0453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 161562-7
MN
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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