Individual
MRS. KARMAN RENE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
15750 COUNTY ROAD 409, CISCO, TX 76437-7801
(254) 725-7157
Mailing address
15750 COUNTY ROAD 409, CISCO, TX 76437-7801
(254) 725-7157
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
186351
TX
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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