Individual
MADISON B SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
62 TRIPLE OAK DR, FALLING WATERS, WV 25419-7643
(304) 671-9227
Mailing address
62 TRIPLE OAK DR, FALLING WATERS, WV 25419-7643
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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