Individual
WYATT STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 KEARNEY ST, PORT TOWNSEND, WA 98368-8307
(360) 774-2710
Mailing address
354 SENTINEL FIRS RD, PORT HADLOCK, WA 98339-9763
(360) 437-0343
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60500932
WA
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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