Most Relevant Information
Provider Data
| NPI Number: | 1003643289 |
| Provider Name: | SARA BUKOWSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 171400000X |
| Specialty: | Health & Wellness Coach |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/19/2024 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
4801 VETERANS DR
SAINT CLOUD
MN
563032015
Practice Location Phone/Fax
| Phone: | 3202521670 |
| Fax: |
Provider Mailing Location
620 80TH ST NW
RICE
MN
563678759
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |