Individual
GRETCHEN M ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP
Contact information
Practice address
15644 POMERADO RD, SUITE 306, POWAY, CA 92064-2400
(858) 675-1140
(858) 675-1144
Mailing address
15644 POMERADO RD, SUITE 306, POWAY, CA 92064-2400
(858) 675-1140
(858) 675-1144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
562
CA
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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