Individual
MRS. CAROL LEE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACA
Contact information
Practice address
56970 YUCCA TRL STE 102, YUCCA VALLEY, CA 92284-7911
(760) 365-0691
(760) 365-0692
Mailing address
37446 WESTRIDGE AVE, PALM DESERT, CA 92211-1363
(559) 284-6135
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
4179
CA
237600000X
Audiologist-Hearing Aid Fitter
Primary
HA4179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA4179
CALIFORNIA HEARING AID DESPENSER LIC.
CA
Enumeration date
07/19/2017
Last updated
07/21/2022
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