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Jacob Ethridge
NPI 1730918723 · on the registry since 2024
Practice
- Address
- 5623 Hamilton Wolfe Apt 236
San Antonio, TX 78240 - Phone
- (801) 360-8298
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Sex
- Male
- Record last updated
- 2024-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas