Nydisha Boyd, Cosmetologist
Prosthetist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1710695028
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1710695028
- Entity type
- Individual (NPI-1)
- Name
- Nydisha Boyd
- Credential
- Cosmetologist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2022
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | – | – | Yes |
Practice location
29 S 60th StPhiladelphia, PA 19139-3004
Phone 215-921-2410
Mailing address
3343 Pietro WayPhiladelphia, PA 19145-5541
Phone 267-253-7053
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