Individual
SHEREE SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13813 BANGOR AVE, GARFIELD HTS, OH 44125-6006
(216) 217-2470
Mailing address
13813 BANGOR AVE, GARFIELD HTS, OH 44125-6006
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
378210580599
STNA/HHA
OH
Enumeration date
10/22/2020
Last updated
10/22/2020
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