Ethan Town is a student in an organized health care education training program in Oceanside, CA. The provider is 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. Ethan Town NPI is 1750958435. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
BLDG 22190
OCEANSIDE, CA
ZIP 92058
Phone: (224) 730-2459
The enumeration date for this NPI number is 6/9/2021 and was last updated on 11/22/2023.