Individual
TOSHA LYDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2111 WILSON RD, NEWBERRY, SC 29108-1603
(803) 321-2170
(803) 321-2300
Mailing address
2111 WILSON RD, NEWBERRY, SC 29108-1603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
87743
SC
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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