Individual
MRS. ERICA KORABEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605
(508) 852-1805
Mailing address
PO BOX 15007, WORCESTER, MA 01605-0007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2268237
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110022061B
MEDICAID GROUP NUMBER
MA
Enumeration date
09/14/2010
Last updated
07/10/2012
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