Individual
CODYE KAYLYNN EASTERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4514 RUNNING W DR APT 105, GILLETTE, WY 82718-2026
(702) 886-4960
Mailing address
4514 RUNNING W DR APT 105, GILLETTE, WY 82718-2026
(702) 886-4960
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1700909129
NV
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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