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Ethan Town
Student in an Organized Health Care Education/Training Program in Oceanside, California
NPI 1750958435

Ethan Town is a Student in an Organized Health Care Education/Training Program based in Milwaukee, CA. Ethan Town practices in Oceanside, CA. The NPI Number for Ethan Town is 1750958435 and holds a License No. (California).

The current practice location address for Ethan Town is Bldg 22190, Oceanside, CA and can be reached out via phone at 224-730-2459.

Location: Bldg 22190, Oceanside, CA, 53233-2186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750958435
Provider Name
Ethan Town
Credential
Provider Entity Type
Individual
Gender
Male
Address
Bldg 22190, Oceanside, CA, 53233-2186
Phone Number
224-730-2459
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Bldg 22190
City
Oceanside
State
California
Zip
92058
Phone Number
224-730-2459
Fax Number
person
Provider Business Mailing Address Details
Address
Bldg 22190
City
Oceanside
State
California
Zip
92058
Phone Number
224-730-2459
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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