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Individual

RODNEY SHEPPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
STNA

Contact information

Practice address
471 WHITE POND DRIVE, APT 604, AKRON, OH 44320
(330) 835-4388
Mailing address
726 EVA WALK, APT F, AKRON, OH 44306-4404
(330) 356-9440

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
40165496061
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106358300799
OH
Enumeration date
02/24/2017
Last updated
02/24/2017
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