Individual
KETURA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 N 99TH AVE, AVONDALE, AZ 85323-5324
(623) 643-9678
Mailing address
11806 ELKINGTON CT, HOUSTON, TX 77071-3287
(832) 866-5726
(713) 995-1131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
774424
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
239632
AZ
Other
Enumeration date
01/30/2013
Last updated
02/08/2021
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