Individual
RONNIE EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3214 WINCHESTER, BENTON, AR 72015-2929
(501) 326-6160
Mailing address
3214 WINCHESTER, BENTON, AR 72015-2929
(501) 326-6160
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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