ETHAN RICHTSMEIER

ORANGE, CA
NPI1255113155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence:   28097)
Enumeration Date2023-10-17
Last Update Date2023-10-17
Business Address
ETHAN RICHTSMEIER
456 N FERN ST
ORANGE, CA 92867-7809
Phone number: 949-212-4918
Mailing Address
ETHAN RICHTSMEIER
456 N FERN ST
ORANGE, CA 92867-7809
Phone number: