Individual
MRS. ELIZABETH ANN WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
945 FOREST ST, DOVER, DE 19904-3401
(302) 672-1960
(302) 672-1967
Mailing address
945 FOREST ST, DOVER, DE 19904-3401
(302) 672-1960
(302) 672-1967
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
19695
DE
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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