Individual
STEPHANIE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6618 WICKED OAK LN, CHARLOTTE, NC 28216-8838
(843) 359-9891
Mailing address
6618 WICKED OAK LN, CHARLOTTE, NC 28216-8838
(843) 359-9891
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
NC
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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