Individual
MRS. KETO JOLIA IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 S BRAND BLVD, SUTE 320, GLENDALE, CA 91204-1342
(818) 241-3309
(818) 241-3370
Mailing address
127 S BRAND BLVD, SUTE 320, GLENDALE, CA 91204-1342
(818) 241-3309
(818) 241-3370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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