Individual
JEANMARIE ELIZABETH LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1133 N 119TH ST, WAUWATOSA, WI 53226-3303
(414) 807-5227
Mailing address
1133 N 119TH ST, WAUWATOSA, WI 53226-3303
(414) 807-5227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161027-30
WI
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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