Individual provider · Type 1 NPI

Ethan Town

Student in an Organized Health Care Education/Training Program · Oceanside, CA

NPI number 1750958435 Active

Practice location

Bldg 22190
Oceanside, CA 92058

Mailing address

1801 W Wisconsin Ave
Milwaukee, WI 53233-2186

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1750958435

Ethan Town's National Provider Identifier is 1750958435, issued on Jun 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oceanside, CA. The record was last updated on Nov 22, 2023.