Individual
MARIAH EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
205 ORCHARD DR, SISSETON, SD 57262-2312
(605) 698-7647
(605) 698-3493
Mailing address
205 ORCHARD DR, SISSETON, SD 57262
(605) 698-7647
(605) 698-3493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
05/07/2025
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