| NPI | 1598224297 |
|---|---|
| Other Name | TONY MICHAEL SHEPPARD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2021-06-08 |