Individual
MRS. SHAMIDEH ENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 206-8125
Mailing address
71 BALL RD, WALNUT CREEK, CA 94596-6101
(510) 290-8723
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
756163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5292690
KAISER
CA
Enumeration date
02/19/2016
Last updated
02/19/2016
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