Individual
REGEN JEANNINE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1411 S LOCUST AVE APT 105, MARSHFIELD, WI 54449-4847
(818) 481-8822
Mailing address
1411 S LOCUST AVE APT 105, MARSHFIELD, WI 54449-4847
(818) 481-8822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
194148
WI
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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