Individual
TASHEA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 W MAIN ST, SALEM, WV 26426-7615
(304) 782-2190
Mailing address
PO BOX 188, SALEM, WV 26426-0188
(304) 782-2190
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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