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Penina Wagshall
NPI 1962040766 · on the registry since 2019 · sole proprietor
Practice
- Address
- 129 Farmington Ave
Waterbury, CT 06710 - Phone
- (347) 756-0707
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 174400000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-16
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 Connecticut