ETHAN WASH

GOODYEAR, AZ
NPI1588192033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  14069277)
Enumeration Date2017-05-30
Last Update Date2017-05-30
Business Address
ETHAN WASH
2655 N PEBBLE CREEK PKWY
GOODYEAR, AZ 85395-9051
Phone number: 602-677-8992
Mailing Address
ETHAN WASH
9164 W SANDRA TER
PEORIA, AZ 85382-3560
Phone number:
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