Individual
TERESA SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11705 SILVERMOON DR, OKLAHOMA CITY, OK 73162-2224
(405) 728-5032
Mailing address
11705 SILVERMOON DR, OKLAHOMA CITY, OK 73162-2224
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
07/15/2020
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