Individual
TRINA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1240 N MARTIN LUTHER KING BLVD, LAS VEGAS, NV 89106-2825
(702) 967-0530
Mailing address
1240 N MARTIN LUTHER KING BLVD, LAS VEGAS, NV 89106-2825
(702) 967-0530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8386
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568816056
—
NV
Enumeration date
04/20/2016
Last updated
08/09/2016
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