Individual
DARCY EASTMAN NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 MCMILLAN AVE, SAN LUIS OBISPO, CA 93401-6766
(805) 550-1612
Mailing address
1426 15TH ST, LOS OSOS, CA 93402-1809
(805) 550-1612
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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