Individual
CHERYL WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22576 MACARTHUR BLVD, CALIFORNIA, MD 20619-3086
(301) 737-0500
(301) 737-3351
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R131556
MD
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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