Individual
KIMBERLY ROSE EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R) RDMS RVT
Contact information
Practice address
6221 HERMOSA DR, OCEAN SPRINGS, MS 39564-2512
(228) 860-9341
Mailing address
6221 HERMOSA DR, OCEAN SPRINGS, MS 39564-2512
(228) 860-9341
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
165054
MS
2471S1302X
Sonography Radiologic Technologist
Primary
9514
MS
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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