Individual
JARED WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8091 HICKORY GROVE LOOP, DEVILLE, LA 71328-8236
(318) 451-2821
Mailing address
8091 HICKORY GROVE LOOP, DEVILLE, LA 71328-8236
(318) 451-2821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/10/2020
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