ETHAN EDUARDO GIDDENS

SAN DIEGO, CA
NPI1184306086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-08-01
Last Update Date2023-08-01
Business Address
ETHAN EDUARDO GIDDENS
3797 MOUNT AINSWORTH AVE
SAN DIEGO, CA 92111-3214
Phone number: 619-806-2191
Mailing Address
ETHAN EDUARDO GIDDENS
3797 MOUNT AINSWORTH AVE
SAN DIEGO, CA 92111-3214
Phone number: 619-806-2191