ETHAN MICHAEL TREVIS

DOWNEY, CA
NPI1205119286
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0855X Clinic/Center, Adolescent and Children Mental Health
Enumeration Date2011-09-26
Last Update Date2021-02-09
Business Address
ETHAN MICHAEL TREVIS
10927 DOWNEY AVE
DOWNEY, CA 90241-3739
Phone number: 562-869-9770
Mailing Address
ETHAN MICHAEL TREVIS
10927 DOWNEY AVE STE C
DOWNEY, CA 90241-3739
Phone number: 562-450-3304
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