Individual
REBECCA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 417-6000
Mailing address
2301 25TH ST S, FARGO, ND 58103-6104
(218) 791-2105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
552-14
ND
Other
Enumeration date
03/15/2016
Last updated
02/06/2020
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