Ayesha Shante Wyatt

NPI #1841576725 in Idabel, Oklahoma

Provider Information

NPI Number
1841576725
Entity Type
Individual
Name
Ayesha Shante Wyatt
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse's Aide
Enumeration Date
Oct 24, 2011
Last Updated
Oct 24, 2011

Practice Location

Address
1800 HILLCREST
City
Idabel
ZIP Code
74745
Phone
(903) 495-9765

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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