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MARIAH ECKSTROM RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1376024943

Individual Registrant:
 MARIAH  ECKSTROM RN
Gender: F
Sole Proprietor

Location and contact information for practice:
64 WYCHUNAS AVE  BUZZARDS BAY, MA 02532-4318 US
Tel: 774-238-9122  Fax: --

Contact information for business:
64 WYCHUNAS AVE  BUZZARDS BAY, MA 02532-4318 US
Tel: 774-238-9122  Fax: --

Registration Information:
NPI: 1376024943
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
MARN2327109

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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