Individual
LINDA R MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 E RIVER RD, NEWTON FALLS, OH 44444-8730
(330) 646-5051
Mailing address
2615 E RIVER RD, NEWTON FALLS, OH 44444-8730
(330) 646-5051
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
7803354
OH
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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