SHANIQUE NASTASSJA JARRETT

MARINETTE, WI
NPI1841678216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: WI  69031)
Additional Taxonomies207Q00000X Family Medicine
(Licence: WI  69031)
207Q00000X Family Medicine
(Licence: PA  OT016339)
Enumeration Date2015-05-18
Last Update Date2024-12-04
Business Address
Dr. SHANIQUE NASTASSJA JARRETT D.O.
3003 UNIVERSITY DR
MARINETTE, WI 54143-4110
Phone number: 715-735-4200
Mailing Address
Dr. SHANIQUE NASTASSJA JARRETT D.O.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250