Individual
MS. ERICA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10506A MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 853-1300
Mailing address
10506A MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 853-1300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007794RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2021
Last updated
08/19/2024
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