Ishawn Levette Ealy

NPI 1194927541 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1194927541
Gender Female
Enumeration Date 06/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2421 LANCASTER DR NE
SALEM OR, 97305-1220, US
Phone (503) 585-4910
Fax (503) 361-2782
Business Location
4549 AGATE DR SE
SALEM OR, 97317, US
Phone (503) 871-4346
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Ishawn Levette Ealy NPI is 1194927541, taxonomy code is 171M00000X Ishawn Levette Ealy physically located at 2421 Lancaster Dr Ne, Salem OR, 97305-1220. NPI Number Ishawn Levette Ealy has the Individual type.

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1194927541 NPI number is provided on an as is basis without warranty of any kind. 1194927541 is maintained by the National Plan & Provider Enumeration System. The contents of Ishawn Levette Ealy are for informational purposes only.