Individual
MARIAH ECKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
64 WYCHUNAS AVE, BUZZARDS BAY, MA 02532-4318
(774) 238-9122
Mailing address
64 WYCHUNAS AVE, BUZZARDS BAY, MA 02532-4318
(774) 238-9122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2327109
MA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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