Individual
CANDICE MARIE WYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16919 13TH AVENUE CT E, SPANAWAY, WA 98387-7777
(253) 878-6793
Mailing address
16919 13TH AVENUE CT E, SPANAWAY, WA 98387-7777
(253) 878-6793
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 60503868
WA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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