Ethan Eissler Pritikin
Ethan Eissler Pritikin is a Student in an Organized Health Care Education/Training Program in Thousand Oaks, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
215 W Janss RdThousand Oaks, CA 91360-1847
Phone: (805) 852-9216
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1114786878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2024 |
| Last updated in NPPES | March 15, 2024 |
| Certification date | March 15, 2024 |
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