Individual
JILL COLLEEN EASTEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-2172
(575) 956-2182
Mailing address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-2172
(575) 956-2182
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R59175
NM
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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