Wiggins, Dominique

Wiggins, Dominique is an individual health care provider with primary practice located at 2710 N Harbor Dr , San Diego CA 92101-1028. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Wiggins, Dominique can be contacted via phone (619) 278-7134.

Contact Information

Primary practice address
2710 N Harbor Dr San Diego CA 92101-1028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1538772637
LBN Legal business name Wiggins, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2020
Last updated Aug 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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