Individual
ANAIS BRANWEN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6860 AVENIDA ENCINAS, CARLSBAD, CA 92011-3201
(833) 574-2273
Mailing address
6860 AVENIDA ENCINAS, CARLSBAD, CA 92011-3201
(833) 574-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A116713
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2008
Last updated
12/05/2022
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