Individual
MRS. MARY JEAN EASTERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
1328 ARROWHEAD DR, SAINT LOUIS, MO 63132-2404
(314) 994-9805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
088093
MO
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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