Individual
TIJUNA SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7505 US HIGHWAY 64, SUITE 105, MEMPHIS, TN 38133-8947
(901) 347-2003
Mailing address
7505 US HIGHWAY 64, SUITE 105, MEMPHIS, TN 38133-8947
(901) 347-2003
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
122113
TN
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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