Individual
CAROL MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5468 ROAD 199, LEWELLEN, NE 69147-3004
(308) 778-6709
Mailing address
5468 ROAD 199, LEWELLEN, NE 69147-3004
(308) 778-6709
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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