Individual
ERICA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MARKET ST, 2ND FLOOR, LEWISBURG, PA 17837-3002
(570) 524-0900
Mailing address
20 QUEEN ST, NORTHUMBERLAND, PA 17857-1903
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9940532
PA
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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