Individual
JANE BORDELON EASTERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 PINE CREEK DR, MADISONVILLE, LA 70447-9688
(985) 792-0156
(985) 792-5716
Mailing address
133 PINE CREEK DR, MADISONVILLE, LA 70447-9688
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN122383
LA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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