HAIYDEN LAKE ERICKSON

FRESNO, CA
NPI1053097295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-06-22
Last Update Date2023-06-22
Business Address
HAIYDEN LAKE ERICKSON
5241 N MAPLE AVE
FRESNO, CA 93740-0001
Phone number: 530-403-6020
Mailing Address
HAIYDEN LAKE ERICKSON
11 COVENTRY DR
OROVILLE, CA 95966-3632
Phone number:
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