Keith Marcus Wiggins

NPI 1790950830 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1790950830
Gender Male
Enumeration Date 04/29/2008
Last Updated 04/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5701 S EASTERN AVE STE 550
COMMERCE CA, 90040-2952, US
Phone (626) 395-7100
Fax
Business Location
5701 S EASTERN AVE STE 550
COMMERCE CA, 90040-2952, US
Phone (626) 395-7100
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Keith Marcus Wiggins NPI is 1790950830, taxonomy code is 225400000X Keith Marcus Wiggins physically located at 5701 S Eastern Ave Ste 550, Commerce CA, 90040-2952. NPI Number Keith Marcus Wiggins has the Individual type.

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1790950830 NPI number is provided on an as is basis without warranty of any kind. 1790950830 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Marcus Wiggins are for informational purposes only.