Most Relevant Information
Provider Data
| NPI Number: | 1003379934 |
| Provider Name: | DESTINEY UNIQUE WIGGINS |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | 7854PCS3 |
Most Important Dates
| Enumeration Date: | 04/08/2019 |
| Last Updated: | 04/08/2019 |
Provider Practice Location
2700 E SUNSET RD #17, BLDG B
LAS VEGAS
NV
89120
Practice Location Phone/Fax
| Phone: | 7024768809 |
| Fax: |
Provider Mailing Location
2700 E SUNSET RD #17, BLDG B
LAS VEGAS
NV
89120
Provider Mailing Phone/Fax
| Phone: | 7024768809 |
| Fax: |