Individual
MRS. JEAN LEE BARIBEAU-ANAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2335
Mailing address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01496
TX
Other
Enumeration date
12/19/2006
Last updated
07/23/2012
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