Evonda Wyatt

NPI #1558073122 in Lithonia, Georgia

Provider Information

NPI Number: 1558073122
Entity Type: Individual
Name: Evonda Wyatt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Dec 15, 2022
Last Updated: Dec 15, 2022

Practice Location

Address: 1205 ARBOR CROSSING DR
City: Lithonia
State: Georgia
ZIP Code: 30058-3814
Phone: (678) 478-9626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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