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Individual
ERICA EWELL
Active
Individual
ERICA EWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA, CMT
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
MT0111214
MD
251E00000X
Home Health Agency
Primary
L18207613
MD
251J00000X
Nursing Care Agency
Y2K3N2W9
DC
Other
Enumeration date
03/06/2020
Last updated
03/12/2020
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