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Individual

TECKLA CHUDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(951) 329-8325
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(951) 329-8325

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001458
CA
367500000X
Certified Registered Nurse Anesthetist
R197461
MD

Other

Enumeration date
01/24/2014
Last updated
04/12/2021
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