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Individual

MISS TAKEEY LAKEYSHA WIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2401 HAWKINS POINT ROAD, BLDG 28B, BALTIMORE, MD 21226
(410) 636-7506
(410) 636-7868
Mailing address
2401 HAWKINS POINT ROAD, BLDG 28B, BALTIMORE, MD 21226
(410) 636-7506
(410) 636-7868

Taxonomy

Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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