Mary Lou Erickson

NPI 1619156387 - Registered Nurse - 163W00000X

NPI Details
NPI 1619156387
Gender Female
Enumeration Date 10/30/2007
Last Updated 10/30/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
625 5TH ST
SANTA ROSA CA, 95404-4428, US
Phone (707) 565-4433
Fax
Business Location
625 5TH ST
SANTA ROSA CA, 95404-4428, US
Phone (707) 565-4433
Fax
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number RN377964
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According to our database, Mary Lou Erickson NPI is 1619156387, taxonomy code is 163W00000X and license number is RN377964, license state is located at California. Mary Lou Erickson physically located at 625 5th St, Santa Rosa CA, 95404-4428. NPI Number Mary Lou Erickson has the Individual type.

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1619156387 NPI number is provided on an as is basis without warranty of any kind. 1619156387 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Lou Erickson are for informational purposes only.