Individual
AYESHA TA-MIRA MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 OAKLAND AVE, ROCK HILL, SC 29730-3530
(803) 366-6337
Mailing address
410 OAKLAND AVE, ROCK HILL, SC 29730-3530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24858
SC
Other
Enumeration date
10/04/2020
Last updated
01/02/2024
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