Individual
LIUDMILA SIARHEEUNA CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 AMENDMENT AVE, ROCK HILL, SC 29732-3073
(803) 324-7607
Mailing address
170 AMENDMENT AVE, ROCK HILL, SC 29732-3073
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
27604
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/16/2023
Last updated
09/14/2023
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