Individual
MS. DIANA LYNN WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 APPALACHIAN HWY, JESSE, WV 24849-0000
(304) 682-3294
Mailing address
122 APPALACHAIN HWY, JESSE, WV 24849-0000
(304) 682-3294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/15/2013
Last updated
02/19/2013
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