MRS. Stacie Ketcham, LPN

NPI #1144696865 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number
1144696865
Entity Type
Individual
Name
MRS. Stacie Ketcham, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Aug 17, 2015
Last Updated
Aug 17, 2015

Practice Location

Address
9040 REID ST
Address 2
ATTN:MCHJ-CLQ-C
ZIP Code
98431-1100
Phone
(253) 968-2252

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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