Individual
TIMESHA ANN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
888 TERRACE ST, MUSKEGON, MI 49440-1220
(231) 672-3326
Mailing address
921 OAK AVE, MUSKEGON, MI 49442-2119
(231) 672-3326
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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