Provider Demographics
NPI:1447019294
Name:SWAFFORD, ERICA LYNZI
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:LYNZI
Last Name:SWAFFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:SWAFFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13405 COCO PALM CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-6660
Mailing Address - Country:US
Mailing Address - Phone:706-294-7355
Mailing Address - Fax:
Practice Address - Street 1:2019 21ST ST STE 10
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4219
Practice Address - Country:US
Practice Address - Phone:706-294-7355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty