Individual
ANNA MARIE BAYYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-8210
Mailing address
1164 WINGATE DR, CARSON, CA 90745-1651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95032310
CA
Other
Enumeration date
01/02/2008
Last updated
04/03/2024
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