Individual
ERICKA RAE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-4555
Mailing address
4117 DEARBORN ST, EAST CHICAGO, IN 46312-2922
(219) 616-6748
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
180528
IN
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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