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Individual

MRS. LISA ADAMS MCINTIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
880 S LEMON AVE, WALNUT, CA 91789-2931
(909) 595-1261
(909) 839-1212
Mailing address
7177 BRYDON RD, LA VERNE, CA 91750-1112
(909) 596-0550

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
305448
CA

Other

Enumeration date
11/01/2018
Last updated
11/01/2018
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