IndividualActive
Benita Shepherd
NPI 1619665684 · Nursing Care Agency · Vallejo, CA
Provider details
- NPI number
- 1619665684
- Entity type
- Individual
- Primary specialty
- Nursing Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- NA0060036487 (TX)
Specialties & taxonomies
Agencies
Practice location
468 Valle Vista Ave
Vallejo, CA 94590-3441
Phone: (415) 812-0520
Approximate (ZIP-level) locationGet directions
Mailing address
468 Valle Vista Ave
Vallejo, CA 94590-3441
Registry dates
- Enumerated
- 2023-04-27
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.