Individual
GYPSY ADINA EASTHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4564 FAIRVIEW RD, HOLLISTER, CA 95023-9007
(831) 524-6467
Mailing address
4564 FAIRVIEW RD, HOLLISTER, CA 95023-9007
(831) 524-6467
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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