Individual
LEAH JO ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 257-6791
Mailing address
9225 GEESE CIR, EAGLE RIVER, AK 99577-8625
(907) 350-0076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24688
AK
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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