Haiyden Lake Erickson
Haiyden Lake Erickson is a Student in an Organized Health Care Education/Training Program in Fresno, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
5241 N Maple AveFresno, CA 93740-0001
Phone: (530) 403-6020
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1053097295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2023 |
| Last updated in NPPES | June 22, 2023 |
| Certification date | June 22, 2023 |
| Mailing address | 11 Coventry Dr, Oroville, CA 95966-3632 |
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