Individual
TINA MARIE DEVOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 E 5TH ST, RED WING, MN 55066-2712
(651) 380-3530
Mailing address
112 E 5TH ST, RED WING, MN 55066-2712
(651) 380-3530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R143275-8
MN
Other
Enumeration date
11/21/2016
Last updated
10/05/2018
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