Ethan John Ilmar

NPI #1982125753 in Bethel, Alaska

Provider Information

NPI Number
1982125753
Entity Type
Individual
Name
Ethan John Ilmar
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Day Training/Habilitation Specialist
Enumeration Date
Jul 3, 2017
Last Updated
Jul 3, 2017

Practice Location

Address
839 CHIEF EDDIE HOFFMAN HWY
City
Bethel
State
Alaska
ZIP Code
99559
Phone
(907) 543-2740

Specialties & Taxonomy Codes

Specialty
Day Training/Habilitation Specialist

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