Individual
MS. TAMMY IRENE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4031 W. NOBLE AVE., VISALIA, CA 93277-1631
(559) 623-0172
(559) 624-1086
Mailing address
4031 W NOBLE AVE, VISALIA, CA 93277-1631
(559) 623-0172
(559) 624-1086
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
511052
CA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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