Individual
LAURA DIANE BAYNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10301 HIGHWAY 128, PHILO, CA 95466-9534
(707) 972-2326
Mailing address
PO BOX 172, PHILO, CA 95466-0172
(707) 972-2222
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
258236
CA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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