ETHAN GENTILE

LONG BEACH, CA
NPI1669900130
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2017-05-30
Last Update Date2017-05-30
Business Address
Mr. ETHAN GENTILE
6621 E PACIFIC COAST HWY
LONG BEACH, CA 90803-4200
Phone number: 562-270-6344
Mailing Address
Mr. ETHAN GENTILE
2255 W BROADWAY APT G102
ANAHEIM, CA 92804-1369
Phone number: 714-929-6524
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