Individual
ADRIANE BRESHEA EASTMAN-ESMAEILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5387
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.004001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457123
—
OH
Enumeration date
04/13/2018
Last updated
09/01/2021
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