Individual
SHAWNA MICHELLE GLOUDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35912 AVENUE H, YUCAIPA, CA 92399-5206
(909) 790-8550
Mailing address
10959 YUNIS CT, YUCAIPA, CA 92399-9475
(909) 790-8550
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
678932
CA
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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