Individual
MS. SHIRL DENISE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDWAVIER PROVIDER
Contact information
Practice address
1321 PAR AVE, ORMOND BEACH, FL 32174
(386) 671-9060
(386) 615-8376
Mailing address
1321 PAR AVE, ORMOND BEACH, FL 32174
(386) 671-9060
(386) 615-8376
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
FL
Other
Enumeration date
04/03/2007
Last updated
07/25/2007
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