Individual
LYNN WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 NW 246TH ST, LAWTEY, FL 32058-3134
(904) 312-9993
Mailing address
1680 NW 246TH ST, LAWTEY, FL 32058-3134
(904) 312-9993
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA93675
FL
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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