Individual
CANDYCE FONTAIJN WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SUMMERVILLE ST, MOBILE, AL 36617-2660
(251) 554-0114
Mailing address
810 SUMMERVILLE ST, MOBILE, AL 36617-2660
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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