Individual
DANETTE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(443) 739-0784
Mailing address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(443) 739-0784
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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