Individual
AMY ELIZABETH EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 RANDY CT, COLUMBUS, OH 43232-8470
(614) 615-1767
Mailing address
2318 RANDY CT, COLUMBUS, OH 43232-8470
(614) 615-1767
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0030016157
GA
Other
Enumeration date
04/07/2021
Last updated
04/19/2021
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