Theodore B. Wyatt Jr.
Theodore B. Wyatt Jr. is an In Home Supportive Care Agency in Rancho Cucamonga, California. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
11175 Azusa Ct Ste 110Rancho Cucamonga, CA 91730-4933
Phone: (503) 330-3708
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Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|
Record details
| NPI number | 1831028471 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 19, 2026 |
| Last updated in NPPES | June 9, 2026 |
| Certification date | June 9, 2026 |
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