Individual
SHELBY CASSANDRA WYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Mailing address
567 SHERIDAN AVE, BEXLEY, OH 43209-2325
(567) 224-9091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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