Tina Renee Ketter

NPI #1215549563 in Desoto, Texas

Provider Information

NPI Number
1215549563
Entity Type
Individual
Name
Tina Renee Ketter
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Aug 18, 2020
Last Updated
Aug 18, 2020

Practice Location

Address
1019 BLUFFVIEW DR
City
Desoto
State
Texas
ZIP Code
75115-3525
Phone
(214) 779-3463

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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