Individual
LEQUITA MICHELLE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4472 MISTY DAWN CT S, JACKSONVILLE, FL 32277-1388
(706) 315-7863
Mailing address
4472 MISTY DAWN CT S, JACKSONVILLE, FL 32277-1388
(706) 315-7863
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9561258
FL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/19/2023
Last updated
07/24/2023
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