Individual
MRS. JESSICA LORENE EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6181 COX ST, RAVENNA, OH 44266-1507
(330) 459-5670
Mailing address
6181 COX ST, RAVENNA, OH 44266-1507
(330) 459-5670
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
00888
OH
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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