Provider / Organization | NPI | Date Certified |
---|---|---|
KENDREA R WIGGINS | 1841941333 | 2022-01-16 |
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 Type | Individual |
Provider Name | Ms. Kendrea R Wiggins |
Practice Office Address | 1963 4TH AVE SAN DIEGO, CA US |
Practice Office Telephone | 6192333432 |
Mailing Address | 667 EMERALD AVE APT P EL CAJON, CA 920205014 US |
Business Telephone | 6193019577 |
Code | Practice | 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 |