Individual
ENAS SHAMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6280 JACKSON DR STE 9, SAN DIEGO, CA 92119-3436
(619) 303-3642
Mailing address
6280 JACKSON DR STE 9, SAN DIEGO, CA 92119-3436
(619) 303-3642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018796
CA
Other
Enumeration date
04/09/2019
Last updated
07/31/2025
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