Individual
JESSICA KATE KETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-0426
(775) 688-2192
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-0426
(775) 688-2192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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