Individual
MS. TESS EKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 CENTER GREEN DR STE 150, BOULDER, CO 80301-2364
(303) 449-8807
Mailing address
10255 DOVER ST APT 432, WESTMINSTER, CO 80021-3986
(970) 376-1729
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
1530
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1530
ACTIVE SURGICAL ASSISTANT
CO
Enumeration date
04/12/2012
Last updated
04/12/2012
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