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Individual

BIANCA KETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1756 JACOBS MEADOW DR, SEVERN, MD 21144-3036
(443) 653-9953
Mailing address
1756 JACOBS MEADOW DR, SEVERN, MD 21144-3036
(443) 653-9953

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
20-0127R25
MD

Other

Enumeration date
05/25/2026
Last updated
05/25/2026
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