Individual
DAKOTA CHASE ECKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S WESTVIEW DR, DERBY, KS 67037-1340
(316) 869-6961
Mailing address
2012 S EDMUNDS ST, SEATTLE, WA 98108-1927
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-51030-061
KS
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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