Ethan James Hargrave

NPI #1528945284 in Penn Yan, New York

Provider Information

NPI Number
1528945284
Entity Type
Individual
Name
Ethan James Hargrave
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Aug 16, 2025
Last Updated
Aug 16, 2025

Practice Location

Address
1793 OUTLET RD
ZIP Code
14527-8750
Phone
(302) 494-7186

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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