Individual
MRS. ANGELYN SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
203 MISSION AVE STE 211, CASHMERE, WA 98815-1608
(509) 860-7869
Mailing address
11525 EAGLE CREEK RD, LEAVENWORTH, WA 98826-9121
(509) 860-7869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019846
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18371600
WASHINGTON STATE LABOR AND INDUSTRY
WA
01
—
MA00019846
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
05/07/2012
Last updated
03/17/2018
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