Individual
ANNA LOUISE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 BRIARWOOD AVE APT 3, DAYTON, OH 45403-1554
(937) 287-5789
Mailing address
423 BRIARWOOD AVE APT 3, DAYTON, OH 45403-1554
(937) 603-9357
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2024
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