Individual
WILMA J SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1000 HARRISON ST, VERNON, TX 76384-4202
(940) 886-6892
Mailing address
1000 HARRISON ST, VERNON, TX 76384-4202
(940) 886-6892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT043972
TX
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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