Individual
MICHELLE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11582 17TH STREET, TACOMA, WA 98433
(253) 966-7647
Mailing address
11582 17TH STREET, TACOMA, WA 98433
(253) 966-7647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00176046
WA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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