NPI 1205683000

Tyeisha M Boyd

Practitioner Driver Newark, NJ

Practice location

Address: 621 S 20th St Unit 2, Newark, NJ 07103
Phone: (862) 202-9909

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1205683000
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2024
Record last updated: 1 May 2024

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.