Individual
ERICA SHOULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 KINGS CT, HAUPPAUGE, NY 11788-2302
(631) 339-2908
Mailing address
7 KINGS CT, HAUPPAUGE, NY 11788-2302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
66008
CA
Other
Enumeration date
06/18/2024
Last updated
03/03/2025
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