Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | 284 | FL |
NPI | 1366757189 |
---|---|
Provider Name | Dr. Julia A Eastman |
First Address | Phoenix, AZ 85013-3811 |
Second Address | Phoenix, AZ 85013-3811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2010 |
Last Update Date | 17/08/2010 |