Michele Ericson

NPI 1679749394 - Contractor - 171W00000X

NPI Details
NPI 1679749394
Gender Female
Enumeration Date 05/02/2008
Last Updated 09/17/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
6102 LOW RD
LISBON OH, 44432-9347, US
Phone (330) 301-4595
Business Location
PO BOX 155
ROGERS OH, 44455-0155, US
Phone (330) 301-4595
Taxonomy Code 171W00000X
License State
License Number
Remove 1679749394 NPI Number

According to our database, Michele Ericson NPI is 1679749394, taxonomy code is 171W00000X Michele Ericson physically located at 6102 Low Rd, Lisbon OH, 44432-9347. NPI Number Michele Ericson has the Individual type.

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1679749394 NPI number is provided on an as is basis without warranty of any kind. 1679749394 is maintained by the National Plan & Provider Enumeration System. The contents of Michele Ericson are for informational purposes only.