ETHAN JO BABAUTA

BREMERTON, WA
NPI1710608013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-09-06
Last Update Date2022-09-06
Business Address
ETHAN JO BABAUTA
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
Mailing Address
ETHAN JO BABAUTA
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031