Search › Virginia › 2278H0200X
Jackie Wiggins, CRT
NPI 1457892960 · on the registry since 2017 · sole proprietor
Practice
- Address
- 15000 Potomac Town Pl
Woodbridge, VA 22191 - Phone
- (678) 237-6150
- Organisation at this address
- 634 Living Co
Warby Parker Inc.
New Generation Aba PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2278H0200X
2278H0200X
- Also registered as
- 251E00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia