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Ethan Eissler Pritikin
Student in an Organized Health Care Education/Training Program in Thousand Oaks, California
NPI 1114786878

Ethan Eissler Pritikin is a Student in an Organized Health Care Education/Training Program based in Mill Valley, CA. Ethan Eissler Pritikin practices in Thousand Oaks, CA. The NPI Number for Ethan Eissler Pritikin is 1114786878 and holds a License No. (California).

The current practice location address for Ethan Eissler Pritikin is 215 W Janss Rd, Thousand Oaks, CA and can be reached out via phone at 805-852-9216.

Location: 215 W Janss Rd, Thousand Oaks, CA, 94941-4533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114786878
Provider Name
Ethan Eissler Pritikin
Credential
Provider Entity Type
Individual
Gender
Male
Address
215 W Janss Rd, Thousand Oaks, CA, 94941-4533
Phone Number
805-852-9216
Fax Number
Provider Enumeration Date
03/15/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
215 W Janss Rd
City
Thousand Oaks
State
California
Zip
91360-1847
Phone Number
805-852-9216
Fax Number
person
Provider Business Mailing Address Details
Address
215 W Janss Rd
City
Thousand Oaks
State
California
Zip
91360-1847
Phone Number
805-852-9216
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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