Individual
MRS. LESLIE RANGER WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
Mailing address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
677972
TX
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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