Traci L Wyatt, OPTICIAN
NPI #1346401650 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1346401650
- Entity Type
- Individual
- Name
- Traci L Wyatt, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Jun 19, 2008
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 104 W COLT SQUARE DR
- Address 2
- SUITE 2
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-2834
- Phone
- (479) 251-9482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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