Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yesenia Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811458433

Yesenia Wallace is a Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

402 E Main St
Waterbury, CT 06702-1701
Phone: (203) 574-9000
Fax: (203) 574-9006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1811458433
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019
Mailing address141 E Main St, Waterbury, CT 06702-2310

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