Individual
PATRICIA E. WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.EEG EPT, CNIM
Contact information
Practice address
11121 SUN CENTER DR, SUITE G, RANCHO CORDOVA, CA 95670-6161
(916) 631-0112
(916) 631-1652
Mailing address
11121 SUN CENTER DR, SUITE G, RANCHO CORDOVA, CA 95670-6161
(916) 631-0112
(916) 631-1652
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
456
CA
247200000X
Other Technician
487
CA
2472E0500X
EEG Technician
2286
CA
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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