Individual
TINEKA JACKQUETTE FLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
8015 36TH AVE N APT 319, NEW HOPE, MN 55427-1961
(612) 598-3102
(763) 544-1816
Mailing address
8015 36TH AVE N APT 319, NEW HOPE, MN 55427-1961
(612) 598-3102
(763) 544-1816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 060246-6
MN
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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