MRS. Nicole Wyman

NPI #1760767826 in Forest Grove, Oregon

Provider Information

NPI Number: 1760767826
Entity Type: Individual
Name: MRS. Nicole Wyman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 19, 2011
Last Updated: Oct 19, 2011

Practice Location

Address: 2537 18TH AVE
City: Forest Grove
State: Oregon
ZIP Code: 97116-2511
Phone: (530) 306-9623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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