Individual
CASSANDRA EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 WAYNE AVE, DAYTON, OH 45410-1122
(740) 335-3126
Mailing address
600 WAYNE AVE, DAYTON, OH 45410-1122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.152338
OH
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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