Individual
JIMMY EASTMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
53132 BLUE RIBBON AVE, KASILOF, AK 99610
(910) 742-8513
Mailing address
PO BOX 1191, KASILOF, AK 99610-1191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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