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ETHAN ADAM AGUILAR BRAVO

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1881464519
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1075 E BETTERAVIA RD STE 201, SANTA MARIA, CA, 934547023
Phone
(805) 621-7714

Specialties & Taxonomies

Respiratory Therapist, Registered License: CA #42870
Physician Assistant Primary License: CA

All Addresses

LOCATION

1075 E BETTERAVIA RD STE 201

SANTA MARIA, CA, 934547023

(805) 621-7714

MAILING

40916 ROAD 56

REEDLEY, CA, 936549133

(559) 740-2890