Individual
MRS. RYAN CARROWAY WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 GREENWOOD RD # CCU, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
2622 BROWN ST, BOSSIER CITY, LA 71111-5108
(318) 658-8981
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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