Individual
ETHAN MCGUFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6711 ARLINGTON AVE STE C, RIVERSIDE, CA 92504-1966
(951) 352-3943
Mailing address
6288 THUNDER BAY TRL, RIVERSIDE, CA 92509-6136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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