Individual
CONSTANCE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
944 VERNON ODOM BLVD, AKRON, OH 44307-1174
(330) 258-0064
Mailing address
944 VERNON ODOM BLVD, AKRON, OH 44307-1174
(330) 258-0064
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.080413-M-IV
OH
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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