FAITH MARIE EASTWOD

POCATELLO, ID
NPI1942072731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2023-10-25
Last Update Date2023-10-25
Business Address
FAITH MARIE EASTWOD
4812 LISH ST
POCATELLO, ID 83202-2363
Phone number: 406-570-6826
Mailing Address
FAITH MARIE EASTWOD
4812 LISH ST APT 11
POCATELLO, ID 83202-2363
Phone number: 406-570-6826