Individual
LEISA EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
211 MISSION RD, KODIAK, AK 99615-6712
(907) 486-3319
(907) 486-8149
Mailing address
211 MISSION RD STE 211, KODIAK, AK 99615-6712
(907) 486-3319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200735
AK
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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