Individual
KATHERINE ELIZABETH KEKLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1509 WILSON TERRACE, GLENDALE, CA 91206
(818) 409-8000
Mailing address
750 E THIRD ST APT E11, POMONA, CA 91766-2078
(614) 209-9013
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
782159
CA
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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