Individual
JULIA ELIZABETH WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11328 CRESSKILL CT, FORT WAYNE, IN 46845-2008
(260) 437-4675
Mailing address
11328 CRESSKILL CT, FORT WAYNE, IN 46845-2008
(260) 437-4675
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000100A
IN
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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