Individual
TERESA EUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1800 COOPER POINT RD SW, BLDG 2, OLYMPIA, WA 98502-1178
(360) 481-2495
Mailing address
2115 OLYMPIA AVE NE, OLYMPIA, WA 98506-4744
(360) 584-3791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA6069516
WA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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