Individual
MRS. JENNIFER EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
400 W 9TH ST N, LADYSMITH, WI 54848-1249
(715) 532-6614
(715) 532-9293
Mailing address
400 W 9TH ST N, LADYSMITH, WI 54848-1249
(715) 532-6614
(715) 532-9293
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1007071
MN
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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