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Individual

ERICA PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6002
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6002

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
374700000X
MEDI-CAL
CA
Enumeration date
04/22/2019
Last updated
04/22/2019
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