Individual
ELSIE R EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4212 EQUINOX WY., SACRAMENTO, CA 95823-6303
(916) 421-2145
(916) 421-2145
Mailing address
4212 EQUINOX WAY, SACRAMENTO, CA 95823-6303
(916) 421-2145
(916) 421-2145
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN104912
CA
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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