Individual
MRS. VICTORIA WIGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
56 VIOLA DR, GLEN COVE, NY 11542-3326
(631) 478-1327
Mailing address
11542 219TH ST, CAMBRIA HEIGHTS, NY 11411-1162
(718) 949-0108
(718) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
02380225
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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