Individual
MRS. ERICA R GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3148 LARUE DR, KETTERING, OH 45429-3916
(937) 789-0579
Mailing address
3148 LARUE DR, KETTERING, OH 45429-3916
(937) 789-0579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.324279
OH
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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