Individual
REBECCA SUE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCULARIST
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
OS 00000016
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9111006
—
WA
Enumeration date
12/04/2006
Last updated
06/07/2012
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