Individual
KEVONNA EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S WEST AVENUE, OAK CITY, NC 27857
(252) 217-1336
Mailing address
PO BOX 57, OAK CITY, NC 27857-0057
(252) 217-1336
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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