Individual
MARY ELIZABETH SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
765 APRILE AVE S, LEHIGH ACRES, FL 33974-2520
(239) 887-1559
(239) 303-7345
Mailing address
765 APRILE AVE S, LEHIGH ACRES, FL 33974-2520
(239) 887-1559
(239) 303-7345
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 217 251
FL
Other
Enumeration date
12/09/2011
Last updated
01/28/2012
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