JAKE EASTWOOD

MESA, AZ
NPI1598205866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: AZ  6535)
Enumeration Date2017-03-06
Last Update Date2017-03-06
Business Address
-- JAKE EASTWOOD COTA/L
1025 N COUNTRY CLUB DR
MESA, AZ 85201-3307
Phone number: 480-472-8494
Mailing Address
-- JAKE EASTWOOD COTA/L
1025 N COUNTRY CLUB DR
MESA, AZ 85201-3307
Phone number:
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