Individual
ERICA P WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
120 BOHANNON CT, ELYRIA, OH 44035-8004
(216) 882-2485
Mailing address
630 ABBE RD S APT 29, ELYRIA, OH 44035-7260
(216) 882-2485
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
183703
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
OH
Other
Enumeration date
02/01/2017
Last updated
09/21/2023
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