Tequilla Shepherd
NPI #1386049039 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1386049039
- Entity Type
- Individual
- Name
- Tequilla Shepherd
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Enumeration Date
- Oct 23, 2014
- Last Updated
- Oct 23, 2014
Practice Location
- Address
- 1530 NE 22ND ST
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27105-5406
- Phone
- (443) 254-8361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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