Individual
LOUISE MARIE JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 S CICERO AVE, CICERO, IL 60804-3638
(708) 780-9777
Mailing address
448 SEGOVIA AVE, SAN GABRIEL, CA 91775-2949
(626) 234-4954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64105
CA
Other
Enumeration date
06/05/2024
Last updated
07/17/2024
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