ORLANDO TERRELL WIGGINS

SAN RAFAEL, CA
NPI1003688946
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-10-24
Last Update Date2023-10-24
Business Address
Mr. ORLANDO TERRELL WIGGINS RADT
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-492-4444
Mailing Address
Mr. ORLANDO TERRELL WIGGINS RADT
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-724-6895
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