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Individual

NYISHA CUSTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
Mailing address
305A UNION AVE, SALISBURY, MD 21801-3659
(443) 366-9162

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A03054
MD

Other

Enumeration date
06/08/2022
Last updated
06/08/2022
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