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Ethan Izu
Student in an Organized Health Care Education/Training Program in Colton, California
NPI 1487412854

Ethan Izu is a Student in an Organized Health Care Education/Training Program based in Colton, CA. Ethan Izu practices in Colton, CA. The NPI Number for Ethan Izu is 1487412854 and holds a License No. (California).

The current practice location address for Ethan Izu is 1501 Violet St, Colton, CA and can be reached out via phone at 949-303-0463.

Location: 1501 Violet St, Colton, CA, 92324-1603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487412854
Provider Name
Ethan Izu
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 Violet St, Colton, CA, 92324-1603
Phone Number
949-303-0463
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1501 Violet St
City
Colton
State
California
Zip
92324-1603
Phone Number
949-303-0463
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Violet St
City
Colton
State
California
Zip
92324-1603
Phone Number
949-303-0463
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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