Individual
DONISE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2234 S ST SE APT 1, WASHINGTON, DC 20020-4503
(202) 713-4059
Mailing address
2234 S ST SE APT 1, WASHINGTON, DC 20020-4503
(202) 713-4059
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
2889377
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70083498
—
DC
Enumeration date
04/09/2017
Last updated
04/09/2017
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