SearchCalifornia374J00000X

Kerynn Jetton, CD, CPD, LCA

NPI 1578153573 · on the registry since 2021 · sole proprietor

Practice

Address
4591 58th St
Sacramento, CA 95820
Phone
(916) 996-7240

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
2021-01-22

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