Individual
ALISSA DENISE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1736 E 10TH ST, TRENTON, MO 64683-2584
(660) 359-5666
(660) 359-5667
Mailing address
1736 E 10TH ST, TRENTON, MO 64683-2584
(660) 359-5666
(660) 359-5667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006239
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758555411
—
MO
Enumeration date
09/26/2005
Last updated
07/08/2007
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