QUINTON WIGGINS WILDER

PRESCOTT, AZ
NPI1861010837
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AZ  MT-24842)
Enumeration Date2020-07-07
Last Update Date2020-07-07
Business Address
Mr. QUINTON WIGGINS WILDER LMT
1590 WILLOW CREEK RD
PRESCOTT, AZ 86301-1164
Phone number: 928-227-1899
Mailing Address
Mr. QUINTON WIGGINS WILDER LMT
310 S MOUNT VERNON AVE
PRESCOTT, AZ 86303-4349
Phone number: 928-499-7041