JOSEPH LEE EASLEY

SALEM, IL
NPI1376539783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: MT  RN28947)
Enumeration Date2005-09-21
Last Update Date2012-10-11
Business Address
JOSEPH LEE EASLEY PNP
1275 HAWTHORN RD
SALEM, IL 62881-1028
Phone number: 618-548-4590
Mailing Address
JOSEPH LEE EASLEY PNP
1275 HAWTHORN RD
SALEM, IL 62881-1028
Phone number: 618-548-4590