Individual
ADRINE SHANICE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3949 VALLEY CT UNIT F, WINSTON SALEM, NC 27106-4335
(336) 558-5197
Mailing address
CMR 415 BOX 6006, APO, AE 09114-0061
(336) 558-5197
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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