Individual
LISA KETELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10330 MERIDIAN AVE N STE 300, SEATTLE, WA 98133-9463
(206) 368-6100
Mailing address
10330 MERIDIAN AVE N STE 300, SEATTLE, WA 98133-9463
(206) 368-6100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60434105
WA
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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