Individual
EDITHA CYGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 WHITETAIL DR, TEGA CAY, SC 29708-8332
(701) 941-1968
Mailing address
1225 WHITETAIL DR, TEGA CAY, SC 29708-8332
(701) 941-1968
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP-1753
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHCP-1753
SC LICENCE
SC
Enumeration date
01/05/2023
Last updated
01/05/2023
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