NPI 1477929933

Raytillia R. Balam, MASTERBARBERCOSM

Practitioner Prosthetics Case Management Brunswick, GA

Practice location

Address: 299 Water Crest Dr, Brunswick, GA 31523-6108
Phone: (912) 290-9898

Registered specialties (2)

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X Licence CO126396 (GA)

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Reflexologist

Other Service Providers Taxonomy 173C00000X Licence CO126396 (GA)

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Registry record

NPI: 1477929933
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2015
Record last updated: 6 Feb 2016

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.