Individual
JESSIE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13070 OLD VALLEY PIKE, EDINBURG, VA 22824-3144
(540) 325-7218
Mailing address
13070 OLD VALLEY PIKE, EDINBURG, VA 22824-3144
(540) 325-7218
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/22/2019
Last updated
09/22/2019
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