NPI 1205450384

Walner Bienaime

Practitioner Religious Nonmedical Practitioner Jacksonville, NC

Practice location

Address: 48 Sophia Dr, Jacksonville, NC 28540-5638
Phone: (910) 320-0078

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

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Registry record

NPI: 1205450384
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2020
Record last updated: 3 Jun 2020

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.