Individual
ASHLEY RACHELLE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3609 COUNTY ROAD 143, MAHTOWA, MN 55707-8643
(218) 591-4784
Mailing address
1110 CLOQUET AVE # 216, CLOQUET, MN 55720-1620
(218) 591-4784
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
2045542
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045542
RN, IBCLC PROVIDING LACTATION SERVICES
MN
Enumeration date
07/09/2020
Last updated
07/09/2020
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