Ettleton Dialysis LLC
NPI #1457853459 in Milpitas, California
Provider Information
- NPI Number
- 1457853459
- Entity Type
- Organization
- Organization Name
- Ettleton Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 6, 2018
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 660 E CALAVERAS BLVD
- City
- Milpitas
- State
- California
- ZIP Code
- 95035-5442
- Phone
- (408) 945-6536
Authorized Official
- Name
- JOHN D WINSTEL
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (253) 733-4501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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