Individual
ERICA VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 TIERRA DR APT 222, SHREVEPORT, LA 71119-7750
(318) 272-4698
Mailing address
6121 TIERRA DR APT 222, SHREVEPORT, LA 71119-7750
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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