Individual
CHEVELLE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4950 NORTHCUTT PL, DAYTON, OH 45414-3840
(937) 496-2020
(937) 496-2016
Mailing address
16 MARIE AVE, DAYTON, OH 45405-3210
(937) 276-4608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
343881
OH
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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