Individual
MS. JAYNE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CDE
Contact information
Practice address
802 HOPKINS ST, GARLAND, TX 75040-7379
(214) 266-0737
Mailing address
1920 RIDGECREST DR, GARLAND, TX 75042-8336
(469) 964-0615
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT04855
TX
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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