Individual
SHAWNA ROSE GLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1486
(181) 899-6105
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1486
(181) 899-6105
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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