Individual
MRS. JENNIFER MARIE ERICSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1451 LUCAS RD, MANSFIELD, OH 44903-8682
(419) 589-5511
Mailing address
854 SILLIMAN RD, PLYMOUTH, OH 44865-9669
(419) 687-0980
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN.321899
OH
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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