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Individual

INDIA SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1165 PALISADES DR, APT 1108, SAN ANTONIO, TX 78148
(210) 689-0789
Mailing address
1165 PALISADES DR, APT 1108, SAN ANTONIO, TX 78148
(210) 731-9570

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329203
TX

Other

Enumeration date
08/30/2018
Last updated
08/30/2018
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