Individual
JENNIFER C MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
16515 N RIMROCK RD, HAYDEN, ID 83835-7854
(208) 277-7701
Mailing address
16515 N RIMROCK RD, HAYDEN, ID 83835-7854
(208) 277-7701
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-62016
ID
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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