Individual
NANCY SHENOUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10132 CALIFORNIA AVE, SOUTH GATE, CA 90280-6008
(323) 566-4411
Mailing address
10132 CALIFORNIA AVE, SOUTH GATE, CA 90280-6008
(323) 566-4411
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15758
CA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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