Individual
TEMICA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4907 SPRING AVE, DALLAS, TX 75210-1360
(469) 245-7994
Mailing address
4907 SPRING AVE, DALLAS, TX 75210-1360
(469) 245-7994
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
03792852
TX
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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