Individual
MRS. DELORIS TARA KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11115 C STREET, ARMONA, CA 93202
(559) 583-5000
Mailing address
PO BOX 368, ARMONA, CA 93202-0368
(559) 583-5000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
761358
CA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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