Individual
DR. ANNETTE LOURDES DUMALO ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D, PH.D.
Contact information
Practice address
1351 24TH AVE, SAN FRANCISCO, CA 94122-1616
(415) 682-1900
Mailing address
1221 40TH ST, APT. 301, EMERYVILLE, CA 94608-3665
(510) 655-7565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A90466
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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