Individual
MRS. DAMIRAE R SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3788 COUNTY ROUTE 36, WAYLAND, NY 14572-9426
(585) 534-9789
Mailing address
3788 COUNTY ROUTE 36, WAYLAND, NY 14572-9426
(607) 281-7153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10236090
NY
Other
Enumeration date
06/28/2008
Last updated
11/24/2021
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