Provider Demographics
NPI:1477154433
Name:BAYLOR, TYRCE
Entity Type:Individual
Prefix:
First Name:TYRCE
Middle Name:
Last Name:BAYLOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 SAVANNAH ST SE APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-5041
Mailing Address - Country:US
Mailing Address - Phone:202-820-0165
Mailing Address - Fax:
Practice Address - Street 1:3423 5TH ST SE APT 12
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-5443
Practice Address - Country:US
Practice Address - Phone:120-255-4219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker