Individual
TAMEKA SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 E 143RD ST, CLEVELAND, OH 44110-1802
(216) 233-1917
Mailing address
456 E 143RD ST, CLEVELAND, OH 44110-1802
(216) 553-9659
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
50137891105
OH
Other
Enumeration date
04/12/2017
Last updated
03/03/2023
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