JOAN EASTLACK

LONG BEACH, CA
NPI1316284151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  14906)
Enumeration Date2013-01-14
Last Update Date2013-01-14
Business Address
-- JOAN EASTLACK P.A.
432 PANAMA AVE
LONG BEACH, CA 90814-1909
Phone number: 562-961-3831
Mailing Address
-- JOAN EASTLACK P.A.
432 PANAMA AVE
LONG BEACH, CA 90814-1909
Phone number: 562-961-3831