Individual
JAIME MARIE SHAMONKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1328 22ND ST, SAINT JOHN'S HEALTH CENTER, DEPT OF PATHOLOGY, SANTA MONICA, CA 90404-2032
(310) 829-8101
Mailing address
13953 PANAY WAY APT 222, MARINA DEL REY, CA 90292-6191
(310) 822-5810
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A95286
CA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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