IAN FETTEROLF

LA JOLLA, CA
NPI1043736358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-08-17
Last Update Date2022-07-21
Business Address
IAN FETTEROLF MA, MSW
7777 FAY AVE STE 205
LA JOLLA, CA 92037-4324
Phone number: 415-646-4506
Mailing Address
IAN FETTEROLF MA, MSW
912 COLE ST # 368
SAN FRANCISCO, CA 94117-4316
Phone number: 814-279-1806
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