Female

Ms. Courtney Wiggins

Assisted Living Facility in Baltimore, MD(View on Map)

Full Name

Ms. Courtney Wiggins

NPI Number

1003520677

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/09/2023

Specialties

(Taxonomies)

Code

310400000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

AL-00114

Contact
Information

Purpose

Mailing
Location

Address

3200 ECHODALE AVE
3200 ECHODALE AVE

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21214-2619
21214-2619

Country

US
US

Telephone Number

(202) 870-2916
(202) 870-2916

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/09/2023

Provider Address

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