Individual
MICHELLE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
834 N 22ND ST, QUINCY, IL 62301-3209
(217) 440-2997
Mailing address
834 N 22ND ST, QUINCY, IL 62301-3209
(217) 440-2997
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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