Individual
CARMILLE S EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
222 E CENTRAL PKWY, CINCINNATI, OH 45202-1225
(513) 969-9438
Mailing address
PO BOX 11279, CINCINNATI, OH 45211-0279
(513) 969-9438
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN153333-M-IV
OH
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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