Organization
TRISOURCE, LLC
Active
Other names
Fleck Holdings LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ECKENRODE (PRESIDENT)
(410) 782-0641
Entity
Organization
Contact information
Practice address
7467 RIDGE RD STE 120, HANOVER, MD 21076-3184
(410) 782-0641
(410) 782-0641
Mailing address
7467 RIDGE RD STE 120, HANOVER, MD 21076-3184
(410) 782-0641
(410) 782-0641
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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