Individual
MS. ADELE LOUISE EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2633 N 2ND ST, FRESNO, CA 93703-1214
(559) 444-3458
Mailing address
2633 N 2ND ST, FRESNO, CA 93703-1214
(559) 444-3458
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VM267641
CA
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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