| NPI | 1720249162 |
|---|---|
| Former Legal Business Name | WENDY A. WAGUESPACK, O.D. |
| Entity Type | Organization |
| Authorized Contact | WENDY A. WAGUESPACK Dr. 225-767-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 874-019T) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-08-06 |