ETHAN PHAN

NEW ORLEANS, LA
NPI1083076947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-22
Last Update Date2021-12-20
Business Address
-- ETHAN PHAN MD
2014 S RENDON ST
NEW ORLEANS, LA 70125-3640
Phone number: 916-284-2041
Mailing Address
-- ETHAN PHAN MD
2014 S RENDON ST
NEW ORLEANS, LA 70125-3640
Phone number: 916-284-2041