Individual
MS. KOREEN APRIL ERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
610 4TH AVE E, OLYMPIA, WA 98501-1113
(360) 791-1377
Mailing address
6830 RIVERDALE DR SE, OLYMPIA, WA 98501-6139
(360) 791-1377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60089176
WA
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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