Individual
MRS. IMELDA MAGO MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6925 PLUM LAKE LN E, JACKSONVILLE, FL 32222-1582
(904) 910-9525
Mailing address
6925 PLUM LAKE LN E, JACKSONVILLE, FL 32222-1582
(904) 910-9525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3402852
FL
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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