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Ericka Provost
NPI 1851106454 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1004 Winsford Rd
Towson, MD 21204 - Phone
- (805) 290-8813
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland