Individual
STEPHANIE RENEE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11630 TOWNE AVE, B1, LOS ANGELES CALIFORNIA, CA 90061
(310) 925-4832
Mailing address
11630 TOWNE AVE # B1, LOS ANGELES, CA 90061-2956
(424) 200-8246
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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