Wyatt, Evonda

Wyatt, Evonda is an sole proprietor health care provider with primary practice located at 1205 Arbor Crossing Dr , Lithonia GA 30058-3814. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Wyatt, Evonda can be contacted via phone (678) 478-9626.

Contact Information

Primary practice address
1205 Arbor Crossing Dr Lithonia GA 30058-3814
Phone: (678) 478-9626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT009446 Georgia

Profile Details

NPI number 1558073122
LBN Legal business name Wyatt, Evonda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2022
Last updated Dec 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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