Shannon Wyatt

NPI #1992151203 in Yorktown, Virginia

Provider Information

NPI Number
1992151203
Entity Type
Individual
Name
Shannon Wyatt
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
May 5, 2016
Last Updated
May 6, 2016

Practice Location

Address
400 COMMERCE CIR
Address 2
H
ZIP Code
23693-4322
Phone
(757) 596-2484

Specialties & Taxonomy Codes

Specialty
Specialist
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Prosthetic/Orthotic Supplier

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