ENNEMAN IRENE TAD-AWAN

SAN DIEGO, CA
NPI1023816501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95029080)
Enumeration Date2025-03-03
Last Update Date2025-03-03
Business Address
ENNEMAN IRENE TAD-AWAN NP
1173 FRONT ST
SAN DIEGO, CA 92101-3904
Phone number: 619-409-5000
Mailing Address
ENNEMAN IRENE TAD-AWAN NP
683 ASH AVE
CHULA VISTA, CA 91910-5338
Phone number: 417-860-9671
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