Individual
CHASE KEEGAN LUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
350 TERRACINA BLVD, REDLANDS, CA 92373-4850
(909) 335-5500
Mailing address
25200 SLATE CREEK DR, MORENO VALLEY, CA 92551-1002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027364
CA
Other
Enumeration date
01/18/2024
Last updated
09/18/2024
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