Individual
PATRICIA EILEEN WIGELSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5154
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5154
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
064
NM
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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