Individual
ELAINE EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 534-4684
Mailing address
3385 FM 3053, KILGORE, TX 75662-8489
(903) 522-9909
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
753756
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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