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Individual

SHANICE L BAQUET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2803 N TEUTONIA AVE UNIT B, MILWAUKEE, WI 53206-2661
(262) 457-9815
Mailing address
2656 N TEUTONIA AVE UNIT 6566, MILWAUKEE, WI 53206-3421
(262) 457-9815

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175F00000X
Naturopath
Primary
LEHP1314
FL

Other

Enumeration date
01/29/2024
Last updated
09/17/2025
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