Individual
ERICKS K DIFFENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 WINCHESTER AVE, MARTINSBURG, WV 25405-5022
(304) 676-7851
(304) 267-3599
Mailing address
1453 WINCHESTER AVE, MARTINSBURG, WV 25405-5022
(304) 676-7851
(304) 267-3599
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
99151
WV
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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