Individual
APPOLONIA DAWN SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2152 BRISTOL RD, PEMAQUID, ME 04558-4008
(207) 350-6087
(207) 350-7258
Mailing address
2152 BRISTOL RD, PEMAQUID, ME 04558-4008
(207) 350-7258
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172081600004
IN HOME CARE
ME
Enumeration date
07/27/2017
Last updated
07/27/2017
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