Individual
AMBER WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 BROOKS ST, CHARLESTON, WV 25301-2903
(304) 766-9669
Mailing address
PO BOX 11092, CHARLESTON, WV 25339-1092
(304) 766-9669
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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