Individual
MR. ELIJAH GABRIEL BAYNES-MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
1 AVENUE OF THE ARTS, NEWPORT NEWS, VA 23606-3072
(651) 600-0356
Mailing address
2713 OAK AVE UNIT 1, NEWPORT NEWS, VA 23607-4225
(651) 600-0356
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0136004037
VA
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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