person
Yesenia Wallace
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1811458433

Yesenia Wallace is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Yesenia Wallace practices in Waterbury, CT. The NPI Number for Yesenia Wallace is 1811458433 and holds a License No. (Connecticut).

The current practice location address for Yesenia Wallace is 402 E Main St, Waterbury, CT and can be reached out via phone at 203-574-9000 and via fax at 203-574-9006.

Location: 402 E Main St, Waterbury, CT, 06702-2310
person
Provider Profile Details
NPI Number
1811458433
Provider Name
Yesenia Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
402 E Main St, Waterbury, CT, 06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
Provider Enumeration Date
03/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
402 E Main St
City
State
Zip
06702-1701
Phone Number
203-574-9000
Fax Number
203-574-9006
person
Provider Business Mailing Address Details
Address
402 E Main St
City
State
Zip
06702-1701
Phone Number
203-574-9000
Fax Number
203-574-9006
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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