Individual
MISS ERICA LYNN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1925 FATTLER RIDGE RD, PHILO, OH 43771-9603
(740) 303-3067
Mailing address
1925 FATTLER RIDGE RD., PHILO, OH 43771-9771
(740) 303-3067
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 141188
OH
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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