Individual
JOSIE ETHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Mailing address
195 E FIDDLERS CANYON RD, UNIT 8, CEDAR CITY, UT 84721-8744
(801) 719-0734
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/22/2016
Last updated
10/22/2016
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