Individual
BRATIENA WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 MIAMISBURG CENTERVILLE RD STE 201, DAYTON, OH 45449-4052
(937) 866-4021
Mailing address
34 DAYTON AVE, DAYTON, OH 45402-6401
(937) 270-8457
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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