Individual
ANGELA STEPHANIE SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3910 SUMMITVIEW AVE, YAKIMA, WA 98908
(509) 834-8074
Mailing address
20 LYLE LOOP, SELAH, WA 98942-8869
(509) 834-8074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60892517
WA
Other
Enumeration date
11/29/2018
Last updated
04/30/2024
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