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Individual
SHANNON SAN SAN WAI
Active
Individual
SHANNON SAN SAN WAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A122459
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
A122459
CA
Other
Enumeration date
11/17/2009
Last updated
02/20/2013
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