Individual
TAMMY ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
225 EAGLE ST, ANCHORAGE, AK 99501-2626
(907) 729-6550
Mailing address
225 EAGLE ST, ANCHORAGE, AK 99501-2626
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
126906
AK
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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