NPI 1548865967
Andri S Baynum
Practice location
- Address
- 164 Chalan Jesus Grace Street Talofofo, Talofofo, GU 96915-9691
- Phone
- (671) 653-2313
- Mailing address
- 164 Chalan Jesus Grace Street Talofofo, Talofofo, GU 96915-4309
Registered specialties
Professional Counselor
Primary
Registry record
- NPI
- 1548865967
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Dec 2020
- Record last updated
- 2 Dec 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.