Individual
MS. COURTNEY JOANNE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4444 LACEY BLVD SE STE E, LACEY, WA 98503-5730
(360) 438-1998
(360) 438-3524
Mailing address
4444 LACEY BLVD SE STE E, LACEY, WA 98503-5730
(360) 438-1998
(360) 438-3524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60048274
WA
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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