Individual
RITA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15644 SKANEE RD, LANSE, MI 49946-9003
(906) 524-5885
Mailing address
15644 SKANEE RD, LANSE, MI 49946-9003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704154006
MI
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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