Ethan Bradley Imboden
Ethan Bradley Imboden is a Personal Care Attendant in Monongah, West Virginia. Licensed in West Virginia. Registered with an NPI since 2026.
- Licensed in
- WV
- In the registry since
- 2026
Practice location Address checks out
525 Camden AveMonongah, WV 26554-1104
Phone: (304) 816-2780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X (WV) |
|---|
Record details
| NPI number | 1104761543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 22, 2026 |
| Last updated in NPPES | April 22, 2026 |
| Certification date | April 22, 2026 |
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