Individual
WANDA SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE ASSISTANT
Contact information
Practice address
8366 SCHAEFER HWY, DETROIT, MI 48228-2779
(313) 721-5849
Mailing address
8366 SCHAEFER HWY, DETROIT, MI 48228-2779
(313) 721-5849
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
87-0883270
MI
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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