Individual
AMBER L EASLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1000 PINE ST, TEXARKANA, TX 75501-5100
(903) 798-7260
Mailing address
1995 MILLER COUNTY 13, FOUKE, AR 71837-9298
(870) 653-2383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06802
TX
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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