Individual
MISTI JEAN ECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP.,CPT
Contact information
Practice address
95 N SUMMIT RD, MCCLEARY, WA 98557-9719
(360) 259-1369
Mailing address
95 N SUMMIT RD, MCCLEARY, WA 98557-9719
(360) 259-1369
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA22300
WA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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