ETHAN KIZZIAR

CORONADO, CA
NPI1851133862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  306050)
Enumeration Date2024-06-10
Last Update Date2024-07-03
Business Address
ETHAN KIZZIAR DPT
120 C AVE STE 110
CORONADO, CA 92118-1992
Phone number: 858-225-7222
Mailing Address
ETHAN KIZZIAR DPT
7845 WESTSIDE DR APT 427
SAN DIEGO, CA 92108-1261
Phone number: 503-575-0648
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