Individual
JACQUELYN KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027-6062
(323) 361-4141
Mailing address
4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22462
CA
Other
Enumeration date
04/09/2014
Last updated
06/15/2015
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