Individual
ALTONYA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 S HOBSON ST, PHILADELPHIA, PA 19142-1804
(267) 221-1324
Mailing address
2219 S HOBSON ST, PHILADELPHIA, PA 19142-1804
(267) 221-1324
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
13063
PA
Other
Enumeration date
01/13/2023
Last updated
04/29/2023
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