Individual
SAMANTHA RAE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 4TH AVE NORTH, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
38197 175TH AVE, PELICAN RAPIDS, MN 56572
(218) 731-0187
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0662752
MN
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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