ETHAN D YOHANNAN

NEWARK, NJ
NPI1427845981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-21
Last Update Date2025-04-21
Business Address
ETHAN D YOHANNAN
185 S ORANGE AVE
NEWARK, NJ 07103-2757
Phone number: 732-445-4636
Mailing Address
ETHAN D YOHANNAN
206 N GREEN ST APT 426
WINSTON SALEM, NC 27101-3157
Phone number: 703-819-4877