Search › California › 163WA0400X
Wallace Wiggam, RN
NPI 1932739141 · on the registry since 2020
Practice
- Address
- 2403 Professional Dr # Ca
Santa Rosa, CA 95403 - Phone
- (707) 544-3295
Registry record
- Primary taxonomy
- 163WA0400X
163WA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California