Individual
MRS. EMMA LORRAINE KEETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICCE, CD
Contact information
Practice address
12648 WIMBLEY LN, WOODBRIDGE, VA 22192-5076
(703) 580-1052
Mailing address
12648 WIMBLEY LN, WOODBRIDGE, VA 22192-5076
(703) 580-1052
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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