VIRGIL KAVON SHEPHERD

LOS ANGELES, CA
NPI1598500316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-06-25
Last Update Date2024-06-25
Business Address
VIRGIL KAVON SHEPHERD
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-751-3026
Mailing Address
VIRGIL KAVON SHEPHERD
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-751-3026