Individual
ERICKA BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4616 17TH AVE SE, MINOT, ND 58701-6106
(701) 509-3449
Mailing address
4616 17TH AVE SE, MINOT, ND 58701-6106
(701) 509-3449
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1475328
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ND3836930
—
ND
Enumeration date
10/29/2020
Last updated
10/29/2020
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