Individual
ADAM ROSS EASTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 3RD ST, EUREKA, CA 95501-0513
(707) 442-4900
Mailing address
917 3RD ST, EUREKA, CA 95501-0513
(807) 442-4900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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