Organization
WIGS WIGS WIGS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSALINDA CASTANEDA (OWNER)
(505) 323-9003
Entity
Organization
Contact information
Practice address
1502 WYOMING BLVD NE STE A, ALBUQUERQUE, NM 87112-3869
(505) 323-9003
(505) 323-2265
Mailing address
1502 WYOMING BLVD NE STE A, ALBUQUERQUE, NM 87112-3869
(505) 323-9003
(505) 323-2265
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
FA0053735/PT0060416
NM
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
About Stedi
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