NPI Registry.org

Kendrea R Wiggins

NPI Registration Record

Provider / OrganizationNPIDate Certified
KENDREA R WIGGINS18419413332022-01-16

Kendrea R Wiggins is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841941333. Registration indicates Kendrea R Wiggins is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Public Health, State or Local, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Clinic/Center Public Health, State or Local, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeIndividual
Provider NameMs. Kendrea R Wiggins
Practice Office Address1963 4TH AVE
SAN DIEGO, CA US
Practice Office Telephone6192333432
Mailing Address667 EMERALD AVE APT P
EL CAJON, CA 920205014 US
Business Telephone6193019577
HPT Codes
CodePractice
License No
State
261QP0905X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Public Health, State or Local

FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse

Clinic/Center Public Health, State or Local
Ambulatory Health Care Facilities
Clinic/Center
CA
OPI Codes
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