Individual
JACQUELINE EASTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
732 VINE ST, MURRAY, KY 42071-2630
(270) 753-6477
(270) 753-6478
Mailing address
732 VINE ST, MURRAY, KY 42071-2630
(270) 753-6477
(270) 753-6478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002619
KY
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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