Provider Demographics
NPI:1760013031
Name:LIGGINS, PATRICIA DOMINIQUE (CPD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DOMINIQUE
Last Name:LIGGINS
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5927 FISHER RD APT 102
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-5914
Mailing Address - Country:US
Mailing Address - Phone:240-723-6575
Mailing Address - Fax:
Practice Address - Street 1:5927 FISHER RD APT 102
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-5914
Practice Address - Country:US
Practice Address - Phone:240-723-6575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula