Ethan Town
Ethan Town is a Student in an Organized Health Care Education/Training Program in Oceanside, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
Bldg 22190Oceanside, CA 92058
Phone: (224) 730-2459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1750958435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 9, 2021 |
| Last updated in NPPES | November 22, 2023 |
| Certification date | November 16, 2023 |
| Mailing address | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 |
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