Individual
KECIA LONNETTE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 FARRAGUT ST NW, WASHINGTON, DC 20011-3944
(240) 639-3642
Mailing address
6712 W FOREST RD APT 102, HYATTSVILLE, MD 20785-3320
(202) 878-4368
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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