Individual
KETTIA NOEL
Active
Individual
KETTIA NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
L20000294693
FL
372600000X
Adult Companion
—
FL
376J00000X
Homemaker
237322
FL
Other
Enumeration date
10/30/2020
Last updated
08/22/2026
Update your record
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