Organization
CASSI WIGINGTON
Active
Other names
New Image
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSI CORINN WIGINGTON CFM (CERTIFIED FITTER OF MASTECTOMY)
(402) 333-7502
Entity
Organization
Contact information
Practice address
13057 W CENTER RD, SUITE 25, OMAHA, NE 68144-3748
(402) 333-7502
(402) 333-7504
Mailing address
11042 SAHLER ST, OMAHA, NE 68164-2317
(402) 699-1172
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
11/24/2008
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