Individual
MARISA LOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
636 SILVER MOSS DR, MONCKS CORNER, SC 29461-7468
(913) 259-9724
Mailing address
636 SILVER MOSS DR, MONCKS CORNER, SC 29461-7468
(913) 259-9724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
263299
SC
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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