Search › California › 363LA2100X
Wyatt Nowak
NPI 1851164859 · on the registry since 2023 · sole proprietor
Practice
- Address
- 63 Staples Ave
San Francisco, CA 94131 - Phone
- (831) 227-1007
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California