PORTIA ANN KEOUGH

TORRANCE, CA
NPI1255839791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95005554)
Enumeration Date2018-01-30
Last Update Date2021-10-23
Business Address
Mrs. PORTIA ANN KEOUGH FNP
23600 TELO AVE
TORRANCE, CA 90505-4035
Phone number: 310-325-2084
Mailing Address
Mrs. PORTIA ANN KEOUGH FNP
393 E WALNUT ST FL 3 PHR GROUP PROVIDER ENROLLMENT UNIT
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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