Individual
LINDSEY ELIZABETH ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 SWEET BRIAR PL, THOUSAND OAKS, CA 91362-1256
(805) 796-1101
Mailing address
1735 SWEET BRIAR PL, THOUSAND OAKS, CA 91362-1256
(805) 796-1101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12762
CA
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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