Individual
MS. PATRICIA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15919 W 10 MILE RD, SOUTHFIELD, MI 48075-2035
(248) 761-3384
Mailing address
544 W SONOMA AVE, HAZEL PARK, MI 48030-2921
(248) 761-3384
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006179
MI
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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