Individual
RONESHA WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5342 KINGSESSING AVE, PHILADELPHIA, PA 19143-4915
(267) 499-7750
Mailing address
5342 KINGSESSING AVE, PHILADELPHIA, PA 19143-4915
(267) 499-7750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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