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Individual

CARLA J WYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9617 7TH AVE SE, EVERETT, WA 98208-3710
(425) 513-8509
Mailing address
15436 BEL RED RD, 100, REDMOND, WA 98052-5536
(425) 644-4100
(425) 644-4101

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00137892
WA

Other

Enumeration date
01/31/2007
Last updated
02/19/2008
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