Individual
MATTHEW THOMAS SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4949 ADELIA DR, VIRGINIA BEACH, VA 23455-3862
(757) 681-0743
Mailing address
4949 ADELIA DR, VIRGINIA BEACH, VA 23455-3862
(757) 681-0743
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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