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Individual

WILHEMINA TAMEKA JOHNSON-WIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN, APN, C.

Contact information

Practice address
505A WHITE HORSE PIKE, ATCO, NJ 08004-2438
(856) 809-6012
Mailing address
505A WHITE HORSE PIKE, ATCO, NJ 08004-2438
(856) 809-6012

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
26NJ0016500
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00016500
NJ

Other

Enumeration date
04/12/2015
Last updated
04/01/2022
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