Individual
MARISSA JEAN JAUQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 7TH AVE S, ESCANABA, MI 49829-1176
(906) 786-6441
Mailing address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 233-1322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704325577
MI
Other
Enumeration date
04/21/2021
Last updated
09/27/2022
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