Individual
KARINE SHUFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 RIPTIDE CT, FORT WORTH, TX 76135-2044
(817) 987-7209
Mailing address
4505 RIPTIDE CT, FORT WORTH, TX 76135-2044
(817) 987-7209
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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