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
ZIP Code
72703-2834
Phone
(479) 251-9482

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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