Individual
TAMARA EASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 540-1511
Mailing address
320 W 14TH ST, JOPLIN, MO 64804-0605
(417) 359-6233
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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