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Individual

ERIKA LYNN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1606 SE MAIN ST, ROSWELL, NM 88203
(575) 624-0370
(575) 624-0376
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 828-4923
(505) 213-0103

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1927
AZ
152W00000X
Optometrist
Primary
OPT704
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64853853
NM
Enumeration date
08/28/2013
Last updated
08/28/2018
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