Individual
KESHA L WIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSHS
Contact information
Practice address
78 KOYEN ST, FORDS, NJ 08863-2052
(732) 877-5941
Mailing address
78 KOYEN ST, FORDS, NJ 08863-2052
(732) 877-5941
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
NJ
174H00000X
Health Educator
—
NJ
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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