Individual
HAZEL-WOOD SHELAYA SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6 SARAH CT, JACKSON, NJ 08527-4760
(732) 833-8140
Mailing address
6 SARAH COURT, JACKSON, NJ 08527-4760
(732) 833-8140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272298-1
NY
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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