Individual
ETHAN FRANCIS SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, CSCS, TSAC-F
Contact information
Practice address
4901 NEWMAN AVE, CYPRESS, CA 90630-2845
(714) 261-0045
Mailing address
4901 NEWMAN AVE, CYPRESS, CA 90630-2845
(714) 261-0045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/05/2017
Last updated
11/05/2017
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