Individual
ERICA JADE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10821 BOYETTE RD, RIVERVIEW, FL 33569-8012
(813) 461-5405
Mailing address
9808 CRISTINA DR, RIVERVIEW, FL 33569-5501
(813) 461-5405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104451500
—
FL
Enumeration date
07/18/2014
Last updated
12/20/2020
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