Individual
MS. TAMARA D RUSTAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
722 15TH ST NW, BEMIDJI, MN 56601
(218) 751-3280
(218) 751-3298
Mailing address
2035 ADAMS AVE NW, SUITE C, BEMIDJI, MN 56601-8799
(218) 751-3280
(218) 751-3298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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