Individual
ALBERTA MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804-26TH AVENUE EAST, BRADENTON, FL 34208
(941) 747-6505
(941) 747-6505
Mailing address
1804-26TH AVENUE EAST, BRADENTON, FL 34208
(941) 747-6505
(941) 747-6505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0886121
FL
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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