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Individual

MRS. ERICA RENEE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5711 KENNETH AVE, CINCINNATI, OH 45224-3231
(513) 866-0599
Mailing address
5711 KENNETH AVE, CINCINNATI, OH 45224-3231
(513) 802-7581

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
152705
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912317520
NPI
OH
Enumeration date
05/05/2014
Last updated
04/30/2021
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