Individual
DR. ANGELINA K ENOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 MAIN ST, SAN QUENTIN, CA 94964-1000
(415) 454-1461
Mailing address
1 MAIN ST, SAN QUENTIN, CA 94964-1000
(415) 454-1461
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY22324
CA
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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