JENNA WAGENBLATT

LIVERPOOL, NY
NPI1578286936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-09-21
Last Update Date2023-02-04
Business Address
JENNA WAGENBLATT
5100 W TAFT RD # L
LIVERPOOL, NY 13088-3807
Phone number: 315-452-2828
Mailing Address
JENNA WAGENBLATT
5100 W TAFT RD # L
LIVERPOOL, NY 13088-3807
Phone number: 315-452-2828