Individual
AIDAN ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCMA
Contact information
Practice address
180 SIERRA COLLEGE DR, GRASS VALLEY, CA 95945-5768
(530) 273-9541
Mailing address
180 SIERRA COLLEGE DR, GRASS VALLEY, CA 95945-5768
(530) 273-9541
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
J8R9A2N2
CA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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