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India Sheppard

Licensed Practical Nurse in San Antonio, TX. Individual provider (NPI-1).

NPI number1508348293
StatusActive
Last updated in NPPESAug 30, 2018

Details

NPI
1508348293
Entity type
Individual (NPI-1)
Name
India Sheppard
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2018
Last updated
Aug 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse329203TXYes

Practice location

1165 Palisades Dr
Apt 1108
San Antonio, TX 78148

Phone 210-689-0789

Mailing address

1165 Palisades Dr
Apt 1108
San Antonio, TX 78148

Phone 210-731-9570

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