Individual
ALARISE JACQUELYN CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C, M.C.E.P.
Contact information
Practice address
1305 PRAIRIE ROSE DR, SUN PRAIRIE, WI 53590-4314
(608) 828-7603
Mailing address
1305 PRAIRIE ROSE DR, SUN PRAIRIE, WI 53590-4314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5349-23
WI
363AM0700X
Medical Physician Assistant
Primary
5349-23
WI
Other
Enumeration date
11/14/2011
Last updated
12/05/2023
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