Individual
SELENE KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLEC CBD
Contact information
Practice address
540 N MARINE AVE, WILMINGTON, CA 90744-5528
(310) 491-4948
Mailing address
540 N MARINE AVE, WILMINGTON, CA 90744-5528
(310) 491-4948
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
02/09/2026
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