Search › California › 374J00000X
Beverly Ketchum, C.P.D. C.L.D
NPI 1487129987 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4725 W 163rd St
Lawndale, CA 90260 - Phone
- (424) 240-6505
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California