Individual
GENEA WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2370 ORCHARD ST, JACKSONVILLE, FL 32209-7440
(904) 502-2702
Mailing address
2370 ORCHARD ST, JACKSONVILLE, FL 32209-7440
(904) 502-2702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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