Individual
MS. KENDREA R WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Mailing address
667 EMERALD AVE APT P, EL CAJON, CA 92020-5014
(619) 301-9577
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
CA
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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