Organization
SOUTHWEST WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHU JUN RICHARD DNP, MSN, AGPCNP-C (NURSE PRACTITIONER)
(504) 957-9352
Entity
Organization
Contact information
Practice address
620 OAK HARBOR BLVD STE 101, SLIDELL, LA 70458-8862
(985) 774-8091
Mailing address
620 OAK HARBOR BLVD STE 101, SLIDELL, LA 70458-8862
(985) 774-8091
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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