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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENITA SHEPHERD

Active Sole Proprietor

BENITA SHEPHERD is a Hospice Care, Community Based healthcare provider located in VALLEJO, California. NPI 1619665684 is currently active in the NPPES registry. Verify at CMS.

Hospice Care, Community Based · VALLEJO, CA

Registration Details

NPI Number
1619665684
Provider Type
Individual
Gender
Female
NPI Issued
Apr 27, 2023 (3.3251983715458 yrs)
Last Updated
Apr 27, 2023
License
NA0060036487 (TX)
Sole Proprietor
Yes

Practice Information

Address
468 VALLE VISTA AVE
VALLEJO, CA, 945903441
Browse CA providers · Browse ZIP 94590
Phone
4158120520
Primary Specialty
Hospice Care, Community Based
251J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.