Individual
TANESHA D WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7810 ALGON AVE, PHILADELPHIA, PA 19111-2846
(267) 694-0205
Mailing address
7810 ALGON AVE APT B310, PHILADELPHIA, PA 19111-2861
(267) 694-0205
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
90533601
PA
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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