TEQUILLA SHEPHERD

Adult Companion

Active Individual
NPI: 1386049039

Practice Address

1530 NE 22ND ST
Winston Salem, NC 27105

Phone: (443) 254-8361

Specialties

Specialty Code Primary License
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1386049039 is the National Provider Identifier for TEQUILLA SHEPHERD, a Adult Companion provider located in Winston Salem, NC. This NPI was enumerated on October 23, 2014.
TEQUILLA SHEPHERD practices at 1530 NE 22ND ST, Winston Salem, NC 27105.

Quick Facts

NPI
1386049039
Type
Individual
Enumerated
Oct 23, 2014
Last Updated
Oct 23, 2014

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