Individual
TRACY EILEEN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8950 CAL CENTER DR STE 160, SACRAMENTO, CA 95826-3225
(844) 253-4537
Mailing address
332 POPE ST, SAN ANDREAS, CA 95249-9467
(209) 366-4814
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
95202847
CA
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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