Individual
MRS. MARLENE P SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
794 HENDRIX ST, BROOKLYN, NY 11207-7403
(718) 927-5907
Mailing address
794 HENDRIX ST, BROOKLYN, NY 11207-7403
(718) 927-5907
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NY
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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