Individual
MS. AMBER CEZANNE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2986
Mailing address
11909 HWY. 99, LIVE OAK, CA 95953
(530) 902-6164
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
274656
CA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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