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1003685371
ETHAN VILLANUEVA
SAN FRANCISCO, CA
NPI
1003685371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-27
Last Update Date
2024-07-02
Business Address
ETHAN VILLANUEVA
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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Mailing Address
ETHAN VILLANUEVA
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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