ETHAN JOSE

SANTA CRUZ, CA
NPI1427673623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine Sports Medicine
(Licence: CA  A194810)
Enumeration Date2020-06-12
Last Update Date2024-08-15
Business Address
ETHAN JOSE MD
110 COOPER ST # 500
SANTA CRUZ, CA 95060-4574
Phone number: 831-425-4100
Mailing Address
ETHAN JOSE MD
3324 MALIBU DR
SANTA CRUZ, CA 95062-2024
Phone number: 510-386-0823
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