JOSEPH SHEPHERD

FORT DRUM, NY
NPI1184182081
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  2380)
Enumeration Date2019-03-10
Last Update Date2022-11-11
Business Address
JOSEPH SHEPHERD MS, RD/LD
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 405-269-3154
Mailing Address
JOSEPH SHEPHERD MS, RD/LD
10728 HARRIS RD
CARTHAGE, NY 13619-8594
Phone number: