Individual
MRS. JACQUELINE CRADY SHEPARD
Active
Individual
MRS. JACQUELINE CRADY SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
CNA254629
FL
372600000X
Adult Companion
CNA254629
FL
3747P1801X
Personal Care Attendant
Primary
CNA254629
FL
374U00000X
Home Health Aide
CNA254629
FL
376K00000X
Nurse's Aide
CNA254629
FL
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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