Individual
LEAH CELESTE BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
407 EAST MAIN ST, OGEMA, MN 56569
(218) 983-3900
Mailing address
PO BOX 22, OGEMA, MN 56569-0022
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2476447
MN
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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