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Derrick Shepherd

NPI 1639711310 · on the registry since 2019

Practice

Address
1229 Broadway St
Richvale, CA 95974
Phone
(530) 882-4125
Fax
(530) 894-5791
Clinicians at this address
11

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California