Ethan John Budsock
Ethan John Budsock is a Student in an Organized Health Care Education/Training Program in Durham, North Carolina. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2023
Practice location Address checks out
2301 Erwin RdDurham, NC 27705-4699
Phone: (919) 684-8111
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence R238820 (MD) |
|---|
Record details
| NPI number | 1952184509 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2023 |
| Last updated in NPPES | August 17, 2023 |
| Certification date | August 17, 2023 |
| Mailing address | 1105 Pale Moss Dr, Durham, NC 27704-3278 |
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