Individual
DR. JINA M ETHELBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4333 PIEDMONT AVE, OAKLAND, AZ 94611
(415) 470-4184
Mailing address
5814 N CATTLE TRACK RD, SCOTTSDALE, AZ 85250-6027
(928) 221-3443
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND703
CA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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