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Individual

MRS. MONICA D ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCO

Contact information

Practice address
421 W RIVERSIDE AVE STE 770, SPOKANE, WA 99201-0402
(509) 747-6148
(509) 638-6705
Mailing address
421 W RIVERSIDE AVE STE 770, SPOKANE, WA 99201-0402
(509) 747-6148
(509) 638-6705

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
OS60696687
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003137000
ID
05
566943
MT
05
9028838
WA
Enumeration date
05/28/2019
Last updated
07/22/2020
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