Individual
ERICA HOSTETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 RICKETTS RD, WEST LIBERTY, OH 43357-9558
(937) 844-0241
Mailing address
169 RICKETTS RD, WEST LIBERTY, OH 43357
(937) 844-0241
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107508494599
—
OH
Enumeration date
12/05/2014
Last updated
12/05/2014
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