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ETHAN NATHANIEL SALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(330) 396-0698
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(330) 396-0698
(580) 200-3580

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0098507
MD
2084P0800X
Psychiatry Physician
Primary
MD210011775
DC

Other

Enumeration date
05/26/2019
Last updated
12/22/2023
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