Provider Demographics
NPI:1265845085
Name:RESPRESS, ERICA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:RESPRESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21040 BOX SPRINGS RD APT 81
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-8727
Mailing Address - Country:US
Mailing Address - Phone:951-807-0901
Mailing Address - Fax:
Practice Address - Street 1:21040 BOX SPRINGS RD APT 81
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-8727
Practice Address - Country:US
Practice Address - Phone:951-807-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver