Individual
DIANA B WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD-CDE
Contact information
Practice address
9894 GENESEE AVE, LA JOLLA, CA 92037-1235
(760) 806-5878
Mailing address
FILE # 54433, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
400195
CA
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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