Easton Wyatt

NPI #1861240988 in Edwardsville, Illinois

Provider Information

NPI Number: 1861240988
Entity Type: Individual
Name: Easton Wyatt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 13, 2024
Last Updated: May 13, 2024

Practice Location

Address: 6 HAIRPIN DR
City: Edwardsville
State: Illinois
ZIP Code: 62026-1000
Phone: (618) 650-3956

Specialties & Taxonomy Codes

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

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