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Suehana Wyatt

Technician, Personal Care Attendant in Barboursville, WV. Individual provider (NPI-1).

NPI number1164020608
StatusActive
Last updated in NPPESOct 16, 2020

Details

NPI
1164020608
Entity type
Individual (NPI-1)
Name
Suehana Wyatt
Sex
Female
Sole proprietor
No
Enumeration date
Oct 16, 2020
Certification date
Oct 16, 2020
Last updated
Oct 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

652 Main St
Barboursville, WV 25504-1439

Phone 304-302-0707

Mailing address

652 Main St
Barboursville, WV 25504-1439

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