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Contact Information

SHANNON M GOULMASSIAN, RN, CNS
1725 WESTERN AVE
SAN BERNARDINO, CA92411-1367
 Phone: 909-887-6333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Perinatal

364SP1700X 89 Certified Clinical Nurse Specialist
 

Diabetes Educator

163WD0400X
 

Lactation Consultant

163WL0100X
Indicates primary specialty

NPI Profile & details for SHANNON M GOULMASSIAN · (Female)

NPI # 1437426053
Status Active
Credentials RN, CNS
Entity Individual
Enumeration date 11/28/2011
Last updated 03/18/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 1382
  • CA License # 536211
  • CA License # L-17087
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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