Individual
MRS. CHERI LYNNE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1114 S BUTLER LN, INDEPENDENCE, MO 64056-3056
(816) 665-5398
Mailing address
1114 S BUTLER LN, INDEPENDENCE, MO 64056-3056
(816) 665-5398
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
2005031816
MO
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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