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Individual

ENNA CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1999 MOWRY AVE STE A, FREMONT, CA 94538-1757
(510) 713-6690
Mailing address
1999 MOWRY AVE STE A, FREMONT, CA 94538-1757
(510) 713-6690

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95006894
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP95006894
NP NUMBER
CA
Enumeration date
09/22/2017
Last updated
12/26/2019
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