Individual
TANAYA SHAREE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 BURLINGAME AVE SW, WYOMING, MI 49509-2600
(616) 965-8333
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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