Individual
ALEXIS CALEY WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-3627
Mailing address
2402 BRIDLE RDG, GOOCHLAND, VA 23063-3247
(804) 335-6494
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86329985
VA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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