Individual
ERICKA MONIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 E RIVIERA DR, MOBILE, AL 36605-2503
(251) 277-1077
Mailing address
1414 E RIVIERA DR, MOBILE, AL 36605-2503
(251) 277-1077
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
7247328
AL
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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