Individual
AMANDA CHRISTINE ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5398 GRANTSVILLE GRV APT 104, COLORADO SPRINGS, CO 80922-2984
(760) 521-0228
Mailing address
5398 GRANTSVILLE GRV APT 104, COLORADO SPRINGS, CO 80922-2984
(760) 521-0228
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86417522
CO
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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