Individual
ERICA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
24801 LAKE SHORE BLVD, APT B620, EUCLID, OH 44123-1275
(440) 637-6369
Mailing address
24801 LAKE SHORE BLVD, APT B620, EUCLID, OH 44123-1275
(440) 637-6369
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401127990810
OH
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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