Individual
TERESA ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 W MAIN ST APT 3, LEWIS, IA 51544-5528
(712) 789-1220
Mailing address
506 HAZEL ST, ATLANTIC, IA 50022-1301
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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