Individual
SHAUNDA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 PEMBROOK AVE, POMONA, CA 91766-5753
(310) 991-5980
Mailing address
452 PEMBROOK AVE, POMONA, CA 91766-5753
(310) 991-5980
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6060813740
CA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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