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Individual
ERICA GHOLSTON
Active
Individual
ERICA GHOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
G423234968167
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3132811850
COMISSION
MI
05
—
9284216065
—
MI
Enumeration date
05/26/2023
Last updated
05/26/2023
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