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Individual
DR. WENDY A WAGUESPACK
Active
Individual
DR. WENDY A WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
874019T
LA
152W00000X
Optometrist
Primary
LA-874-019AT
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1331139
—
LA
01
—
2468B
BLUE CROSS
LA
01
—
5777141
AETNA
LA
Enumeration date
12/08/2006
Last updated
10/07/2026
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