Individual
JAYDEN EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 4TH ST NE, DEVILS LAKE, ND 58301-2597
(701) 270-2892
Mailing address
820 KELLY AVE NE APT 1, DEVILS LAKE, ND 58301-2129
(701) 270-2892
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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