Individual
RESA LOUISE CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11201 BENTON STREET, LOMA LINDA VA MED CENTER, LAB MED (113), LOMA LINDA, CA 92357
(909) 583-6099
(909) 777-3224
Mailing address
11201 BENTON STREET, LOMA LINDA VA MED CENTER, LAB MED (113), LOMA LINDA, CA 92357
(909) 583-6099
(909) 777-3224
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G41075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G410750
—
CA
Enumeration date
08/09/2006
Last updated
07/08/2007
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