Sally Jo Wyatt, LMP

NPI #1174767412 in Port Orchard, Washington

Provider Information

NPI Number: 1174767412
Entity Type: Individual
Name: Sally Jo Wyatt, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Apr 30, 2009
Last Updated: Feb 10, 2010

Practice Location

Address: 1963 BETHEL RD SE
City: Port Orchard
State: Washington
ZIP Code: 98366-3108
Phone: (360) 876-3393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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