Individual
DEVON SHEA MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5865 E NAPLES PLZ, LONG BEACH, CA 90803-5040
(562) 434-4481
Mailing address
12931 WOODLAWN AVE, TUSTIN, CA 92780-3542
(714) 403-4138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007011
CA
363LF0000X
Family Nurse Practitioner
95007011
CA
Other
Enumeration date
09/11/2017
Last updated
01/03/2018
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