Individual
ERICA J TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED ESTHETICIAN
Contact information
Practice address
190 DELAWARE AVE, DELMAR, NY 12054-1311
(518) 439-7960
Mailing address
190 DELAWARE AVE, DELMAR, NY 12054-1311
(518) 439-7960
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
AEB-23-00163
NY
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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