KANNA SHEPHERD

ALBUQUERQUE, NM
NPI1376109181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  200683)
Enumeration Date2019-05-16
Last Update Date2019-05-16
Business Address
KANNA SHEPHERD LOTR
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109-1219
Phone number: 505-727-7800
Mailing Address
KANNA SHEPHERD LOTR
PO BOX 654
LAKE PROVIDENCE, LA 71254-0654
Phone number: