Individual
MRS. RENEE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD.LD
Contact information
Practice address
9205 NEW HAMPSHIRE AVE, B-4, SILVER SPRING, MD 20903-3629
(301) 434-5461
(301) 434-0217
Mailing address
9205 NEW HAMPSHIRE AVE, B-4, SILVER SPRING, MD 20903-3629
(301) 434-5461
(301) 434-0217
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D01370
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2340501
UHCP
MD
01
—
2744726
AETNA
MD
01
—
342892
MAMSI
MD
01
—
53DIR
CAREFIRST
MD
01
—
7426290
AETNA
MD
01
—
8040-0001
CARE FIRST
DC
Enumeration date
04/06/2007
Last updated
07/08/2007
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