Individual
ERICA LATREASE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16012 DAMON AVE, CLEVELAND, OH 44110-1453
(216) 256-1768
Mailing address
16012 DAMON AVE, CLEVELAND, OH 44110-1453
(216) 256-1768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN390148
OH
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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