Individual
ERICA DUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13151 KEOKUK ST, VICTORVILLE, CA 92395-5502
(310) 493-4176
Mailing address
13151 KEOKUK ST, VICTORVILLE, CA 92395-5502
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
95178911
CA
163WG0600X
Gerontology Registered Nurse
95178911
CA
163WH0200X
Home Health Registered Nurse
95178911
CA
163WP0200X
Pediatric Registered Nurse
Primary
95178911
CA
Other
Enumeration date
02/15/2023
Last updated
09/05/2023
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