Individual
MRS. DEBORAH K MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 WESTBROOK DR, LODI, CA 95242-8334
(209) 327-1862
Mailing address
80 WESTBROOK DR, LODI, CA 95242-8334
(209) 327-1862
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
476646
CA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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