KEVIN KETSAN

SANTA ANA, CA
NPI1407248214
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  95000775)
Enumeration Date2015-03-03
Last Update Date2015-03-03
Business Address
-- KEVIN KETSAN NP
2414 S. FAIRVIEW ST. SUITE 212
SANTA ANA, CA 92704
Phone number: 877-830-7328
Mailing Address
-- KEVIN KETSAN NP
3025 MARY CMN
SANTA ANA, CA 92703-3474
Phone number: 877-830-7328
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