Individual
GRACIA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7492
(701) 774-7479
Mailing address
904 5TH AVE NE, JAMESTOWN, ND 58401-3437
(701) 253-4000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
702
ND
Other
Enumeration date
10/10/2006
Last updated
01/02/2013
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