NPI 1013526995

Komi Venunye Gayakpa, IDC

Practitioner Independent Duty Corpsman Jb Andrews, MD

Practice location

Address: 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602
Phone: (651) 354-8825
Mailing address: 34800 Bob Wilson Dr, San Diego, CA 92134-1098

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Maryland →

Registry record

NPI: 1013526995
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2020
Record last updated: 22 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.