Individual
JEANNE MARIE PAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1665 W M 32, GAYLORD, MI 49735-9287
(231) 535-2822
Mailing address
1665 W M 32, GAYLORD, MI 49735-9287
(231) 535-2822
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704318920
MI
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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