Individual
MRS. JIRAPORN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2013 GREAT OAKS DR, BURNSVILLE, MN 55337-8525
(612) 214-1566
Mailing address
2013 GREAT OAKS DR, BURNSVILLE, MN 55337-8525
(612) 214-1566
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1128120
MN
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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