Individual
BARBARA ANN EASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 E CRESTLINE RD, MUNDS PARK, AZ 86017-0081
(928) 812-3167
Mailing address
PO BOX 25203, MUNDS PARK, AZ 86017-5203
(928) 812-3167
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
180
AZ
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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