Individual
ETHAN YIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 E MOUNTAIN VIEW DR, FLAGSTAFF, AZ 86011-0001
(623) 224-0178
Mailing address
115 S 110TH AVE, AVONDALE, AZ 85323-3301
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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