Individual
JACQUELINE CHRISTINE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSCS
Contact information
Practice address
2050 4TH AVE, STEVENS POINT, WI 54481-1910
(715) 346-0123
Mailing address
2027 LARKSPUR DR, APPLETON, WI 54915-1054
(920) 574-0558
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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