Individual
RACHEL SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NETWORK CENTRE DR, EFFINGHAM, IL 62401-4602
(217) 540-5100
Mailing address
1200 NETWORK CENTRE DR, EFFINGHAM, IL 62401-4602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25869
FL
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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