Individual
ROSALIND SUSAN WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4323 PALO VERDE AVE, LAKEWOOD, CA 90713-2948
(310) 920-8422
Mailing address
4323 PALO VERDE AVE, LAKEWOOD, CA 90713-2948
(310) 920-8422
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
429563
CA
163WP0200X
Pediatric Registered Nurse
Primary
429563
CA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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