Individual
MRS. KEIONTAE EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 GA HIGHWAY 96 STE C, WARNER ROBINS, GA 31088-2585
(478) 988-7100
(478) 988-6847
Mailing address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 988-7100
(478) 988-6847
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN295202
GA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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