Individual
MARTHA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7021 ICEBERG LN, SAN ANTONIO, TX 78238-1113
(210) 379-3509
Mailing address
7021 ICEBERG LN, SAN ANTONIO, TX 78238-1113
(210) 379-3509
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
312557
TX
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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