Individual
KIMBERLY ERIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
204 PECOS TRL, CROSSROADS, TX 76227-2238
(815) 295-0685
Mailing address
204 PECOS TRL, CROSSROADS, TX 76227-2238
(815) 295-0685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
896191
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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