AMANDA SHEPARD

MARION, IL
NPI1437876562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020012581)
Enumeration Date2022-10-19
Last Update Date2022-10-19
Business Address
AMANDA SHEPARD RDH
7562 OLD ROUTE 13
MARION, IL 62959-7776
Phone number: 618-993-8333
Mailing Address
AMANDA SHEPARD RDH
7562 OLD ROUTE 13
MARION, IL 62959-7776
Phone number: 618-993-8333