NPI 1386049039

Tequilla Shepherd

Practitioner Adult Companion Winston Salem, NC

Practice location

Address: 1530 NE 22nd St, Winston Salem, NC 27105-5406
Phone: (443) 254-8361

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

Other Adult Companion providers in North Carolina →

Registry record

NPI: 1386049039
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2014
Record last updated: 23 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.