Individual
ERICA NICOLE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 JOHNSON ST, DYERSBURG, TN 38024-3557
(731) 882-8716
Mailing address
1807 JOHNSON ST, DYERSBURG, TN 38024-3557
(731) 882-8716
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
L000000026537
TN
376J00000X
Homemaker
L000000026537
TN
Other
Enumeration date
06/15/2019
Last updated
07/22/2020
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