Individual
ADA MELBA KETCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15010 NE 177TH DR, WOODINVILLE, WA 98072-9230
(206) 661-0850
Mailing address
15010 NE 177TH DR, WOODINVILLE, WA 98072-9230
(206) 661-0850
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC5566
WA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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