Individual
DENISE A SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 13TH AVE S, FARGO, ND 58103-5564
(701) 433-3038
Mailing address
4510 13TH AVE S, FARGO, ND 58103-5564
(701) 433-3038
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
567
ND
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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