Individual
MS. ANDRIA MAXINE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7711 GARRISON RD, LANDOVER HILLS, MD 20784-1756
(301) 306-0099
(301) 306-0059
Mailing address
7842 SCOTLAND DR, POTOMAC, MD 20854-4063
(301) 300-1674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C02990
MD
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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