Individual
DIANA MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 262-0105
Mailing address
555 TOWNER STREET, YPSILANTI, MI 48197
(734) 262-0105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704307313
MI
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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