Individual
SARAH DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(715) 732-8639
Mailing address
1400 NELSON ST, GREEN BAY, WI 54304-2816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22406-40
WI
Other
Enumeration date
09/28/2022
Last updated
04/21/2025
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