Individual
BOBBI J WIGNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
60805 29 PALMS HWY, JOSHUA TREE, CA 92252-5901
(760) 974-5990
Mailing address
60805 29 PALMS HWY, JOSHUA TREE, CA 92252-5901
(760) 974-5990
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
713357
CA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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