Individual
ETHAN ITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3247 ESPLANADE, CHICO, CA 95973-4969
(530) 883-8535
Mailing address
3247 ESPLANADE, CHICO, CA 95973-4969
(970) 406-0008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A13826
CA
Other
Enumeration date
06/06/2011
Last updated
11/10/2017
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