Individual
ERICA HENDERSON-RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 N WOOD ST, GRIFFITH, IN 46319-2349
(219) 378-0173
Mailing address
1037 N WOOD ST, GRIFFITH, IN 46319-2349
(219) 378-0173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043126914
IL
164W00000X
Licensed Practical Nurse
Primary
27071755A
IN
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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