Individual
DAWN KETTELL-NESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 CAMANCHE RD SPC 54, IONE, CA 95640-9427
(209) 872-1252
Mailing address
2000 CAMANCHE RD SPC 54, IONE, CA 95640-9427
(209) 872-1252
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
303050
CA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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