Individual
ETHAN HILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
922 S LAKE ST APT 4, SALT LAKE CITY, UT 84105-1236
(801) 971-1383
Mailing address
922 S LAKE ST APT 4, SALT LAKE CITY, UT 84105-1236
(801) 971-1383
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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