Individual
NYDISHA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
29 S 60TH ST, PHILADELPHIA, PA 19139-3004
(215) 921-2410
Mailing address
3343 PIETRO WAY, PHILADELPHIA, PA 19145-5541
(267) 253-7053
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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