Individual
WYATT RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 NW GILMAN BLVD STE 310, ISSAQUAH, WA 98027-2549
(425) 245-5540
Mailing address
160 NW GILMAN BLVD STE 310, ISSAQUAH, WA 98027-2549
(206) 605-8854
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.61601295
WA
Other
Enumeration date
07/14/2025
Last updated
08/01/2025
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