Individual
ERICA THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 CROSSCREEK LN APT 1110, BENBROOK, TX 76109-5839
(318) 493-1821
Mailing address
5525 CROSSCREEK LN APT 1110, BENBROOK, TX 76109-5839
(318) 493-1821
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
351422
TX
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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