Individual
JARQUECHIA JARAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5725
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5725
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
100513851
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
07/06/2023
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