Individual
GENNETTE MARIE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 TALISMAN DR UNIT C3, PAGOSA SPGS, CO 81147-9171
(970) 731-4554
(970) 731-1868
Mailing address
190 TALISMAN DR UNIT C3, PAGOSA SPGS, CO 81147-9171
(970) 731-4554
(970) 731-1868
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD475
CO
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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