Shannon Wyatt
Shannon Wyatt is a Specialist in Yorktown, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
400 Commerce Cir HYorktown, VA 23693-4322
Phone: (757) 596-2484
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 1202213935 (VA) |
| Customized Equipment (DME) | Taxonomy 332BC3200X |
Record details
| NPI number | 1992151203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2016 |
| Last updated in NPPES | May 6, 2016 |
| Mailing address | 400 Commerce Cir, H, Yorktown, VA 23693-4322 |
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-
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-
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