Tawanna Easley, COSMETOLOGIST
NPI #1073392130 in College Park, Georgia
Provider Information
- NPI Number
- 1073392130
- Entity Type
- Individual
- Name
- Tawanna Easley, COSMETOLOGIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Credential
- COSMETOLOGIST
- Enumeration Date
- Sep 27, 2023
- Last Updated
- Sep 27, 2023
Practice Location
- Address
- 2900 LAJEAN DR
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-4148
- Phone
- (678) 437-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
| Prosthetic/Orthotic Supplier |
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