Individual
ERICA CHISEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 SLEEPY HOLLOW DR APT 412, CLEVELAND, TX 77327-4371
(409) 330-3076
Mailing address
308 SLEEPY HOLLOW DR APT 412, CLEVELAND, TX 77327-4371
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
305935
TX
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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