ETHAN HEAP HEM

ORANGE, CA
NPI1396499539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  37736)
Enumeration Date2022-02-07
Last Update Date2022-03-14
Business Address
ETHAN HEAP HEM
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500
Mailing Address
ETHAN HEAP HEM
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500