Individual
MR. RODNEY SHEPPARD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
142 W MOHAVE ST STE 810, PHOENIX, AZ 85003-2742
(626) 831-0313
Mailing address
142 W MOHAVE ST APT 810, PHOENIX, AZ 85003-2742
(626) 831-0313
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
AZ
Other
Enumeration date
04/18/2024
Last updated
05/15/2024
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