NPI 1710695028

Nydisha Boyd, COSMETOLOGIST

Practitioner Prosthetist Philadelphia, PA

Practice location

Address: 29 S 60th St, Philadelphia, PA 19139-3004
Phone: (215) 921-2410
Mailing address: 3343 Pietro Way, Philadelphia, PA 19145-5541

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1710695028
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2022
Record last updated: 7 Nov 2022

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.