Individual
ERICA DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19221 CLEVELAND RD, SOUTH BEND, IN 46637-3503
(574) 386-4270
Mailing address
19221 CLEVELAND RD, SOUTH BEND, IN 46637-3503
(574) 386-4270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704297145
MI
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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