Individual
TYSHEIKA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 BIG BEN CT, NORTH CHARLESTON, SC 29418-5562
(843) 864-5627
Mailing address
4242 BIG BEN CT, NORTH CHARLESTON, SC 29418-5562
(843) 864-5627
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
561179
SC
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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