NPI 1134300890
Jill C Erickson
Practice location
- Address
- 512 Cottonwood Dr, Casselton, ND 58012-3824
- Phone
- (801) 717-5997
- Fax
- (801) 717-5997
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1134300890
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Nov 2007
- Record last updated
- 21 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.