Individual
DANA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-4809
(702) 777-4822
Mailing address
1801 W OLYMPIC BLVD # 2265, PASADENA, CA 91199-0001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2276
NV
Other
Enumeration date
06/12/2020
Last updated
10/28/2020
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