ETHAN IZU

COLTON, CA
NPI1487412854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-11
Last Update Date2024-03-11
Business Address
ETHAN IZU
1501 VIOLET ST
COLTON, CA 92324-1603
Phone number: 949-303-0463
Mailing Address
ETHAN IZU
1501 VIOLET ST
COLTON, CA 92324-1603
Phone number:
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