NPI 1003520677

Courtney Wiggins

Practitioner Assisted Living Facility Baltimore, MD

Practice location

Address: 3200 Echodale Ave, Baltimore, MD 21214-2619
Phone: (202) 870-2916

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL-00114 (MD)

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Registry record

NPI: 1003520677
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2023
Record last updated: 9 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.