Organization
WENDY WIGMORE
Active
Other names
Jackson Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY A WIGMORE RN (OWNER)
(707) 446-7014
Entity
Organization
Contact information
Practice address
506 MAIN ST, VACAVILLE, CA 95688-3912
(707) 446-7014
(707) 446-1871
Mailing address
506 MAIN ST, VACAVILLE, CA 95688-3912
(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
07/28/2005
Last updated
06/24/2008
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