Individual
MS. CHYNARI S WYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Mailing address
5014 81ST PL SW APT 3, MUKILTEO, WA 98275-2656
(916) 430-0943
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121048701
INDIVIDUAL PROVIDER ONE
WA
Enumeration date
05/04/2019
Last updated
05/04/2019
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