AYESHA SHANTE WYATT

IDABEL, OK
NPI1841576725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: TX  Na08786625)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- AYESHA SHANTE WYATT
1800 HILLCREST
IDABEL, OK 74745
Phone number: 903-495-9765
Mailing Address
-- AYESHA SHANTE WYATT
1800 HILLCREST
IDABEL, OK 74745
Phone number: 903-495-9765