ALEXANDER ELIJAH SHEPARD

FAYETTEVILLE, AR
NPI1417786625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-29
Last Update Date2025-10-27
Business Address
ALEXANDER ELIJAH SHEPARD
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1908
Phone number: 479-713-8000
Mailing Address
ALEXANDER ELIJAH SHEPARD
1404 E BUICK DR APT 10
FAYETTEVILLE, AR 72703-4878
Phone number: 479-200-9355