CODY ERICSON

VISALIA, CA
NPI1972169340
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95009597)
Enumeration Date2019-05-11
Last Update Date2019-06-11
Business Address
MR. CODY ERICSON NP
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-5339
Mailing Address
MR. CODY ERICSON NP
3350 W CAMBRIDGE AVE
VISALIA, CA 93277-4124
Phone number: 707-337-1023
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