MEDICARE: KETURAH WASHINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		CA

General Provider Information

NPI Number	:	1467323980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KETURAH WASHINGTON

Provider Business Mailing Address
First Line	:	324 CLAY AVE APT 9
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-6216
Country	:	US
Telephone Number	:	714-717-2094
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 CLAY AVE APT 9
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-6216
Country	:	US
Telephone Number	:	714-717-2094
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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Directions to “ KETURAH WASHINGTON ” Practice Location

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