RICHARD ERICKSON CAPA

KENOSHA, WI
NPI1215623178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043.117020)
Enumeration Date2023-04-13
Last Update Date2023-04-13
Business Address
RICHARD ERICKSON CAPA LPN
8207 22ND AVE
KENOSHA, WI 53143-6206
Phone number: 262-653-9286
Mailing Address
RICHARD ERICKSON CAPA LPN
18608 W MAIN ST
GAGES LAKE, IL 60030-1755
Phone number: 847-912-3715
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