Individual
MISS ERICA LYNN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
220 M ST NE, AUBURN, WA 98002-4427
(253) 333-8736
Mailing address
1115 114TH ST S, TACOMA, WA 98444-4011
(253) 740-0495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60133009
WA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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