Individual
MS. COURTNEY WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 ECHODALE AVE, BALTIMORE, MD 21214-2619
(202) 870-2916
Mailing address
3200 ECHODALE AVE, BALTIMORE, MD 21214-2619
(202) 870-2916
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-00114
MD
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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