Wyatt Earp
Wyatt Earp is a Case Manager/Care Coordinator in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
525 Technology Ct Ste 105Riverside, CA 92507-2181
Phone: (951) 686-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1376329946 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 7, 2023 |
| Last updated in NPPES | September 7, 2023 |
| Certification date | September 7, 2023 |
| Mailing address | 525 Technology Ct Ste 105, Riverside, CA 92507-2181 |
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