Provider Demographics
NPI:1841088416
Name:BOYOU, GUILLAUME AXEL GNAHORE
Entity type:Individual
Prefix:
First Name:GUILLAUME AXEL
Middle Name:GNAHORE
Last Name:BOYOU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1667 HENTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1300
Mailing Address - Country:US
Mailing Address - Phone:567-330-8214
Mailing Address - Fax:
Practice Address - Street 1:1667 HENTHORNE DR
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1300
Practice Address - Country:US
Practice Address - Phone:419-973-4434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty