Individual
MRS. CANDACE RENEE EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5202 TIMBERWOLF, LUMBERTON, TX 77657-7545
(409) 330-0590
Mailing address
5202 TIMBERWOLF, LUMBERTON, TX 77657-7545
(409) 330-0590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP132138
TX
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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