ETHAN IZU

RIVERSIDE, 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 Date2025-03-21
Business Address
ETHAN IZU
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-966-8398
Mailing Address
ETHAN IZU
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-966-8398
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