Individual
DONNA JO ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11661 50TH ST NE, ALBERTVILLE, MN 55301-9707
(612) 964-7468
Mailing address
11661 50TH ST NE, ALBERTVILLE, MN 55301-9707
(612) 964-7468
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L37643-3
MN
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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