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Individual

ALICIA-ANN DANIELLE WIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
942 MONTFORD RD, CLEVELAND HTS, OH 44121-2078
(216) 414-8602
Mailing address
942 MONTFORD RD, CLEVELAND HEIGHTS, OH 44121-2078
(216) 414-8602

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
144320
OH
332U00000X
Home Delivered Meals
Primary

Other

Enumeration date
11/15/2012
Last updated
03/05/2024
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