Individual
WENDY ANN WIGMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
506 MAIN ST, VACAVILLE, CA 95688-3922
(707) 446-7014
(707) 446-1871
Mailing address
506 MAIN ST, VACAVILLE, CA 95688-3922
(707) 446-7014
(707) 446-1871
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103834
CA
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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