Individual
HAYLEY JEANNINE EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 LONE OAK RD, AVA, IL 62907-2952
(618) 318-6830
Mailing address
3425 LONE OAK RD, AVA, IL 62907-2952
(618) 318-6830
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
03/27/2018
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