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Contact Information

JINA M ETHELBAH, ND
4333 PIEDMONT AVE
CONCHO, AZ94611
 Phone: 415-470-4184
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
Indicates primary specialty

NPI Profile & details for JINA M ETHELBAH · (Female)

NPI Number 1144607482
Status Active
Credentials ND
Entity Individual
Enumeration date 05/06/2015
Last updated 05/06/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # ND703
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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