Individual
DEWANNA MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
646 WEST PROSPECT AVE, RAEFORD,, NC 28376-8503
(910) 904-7172
(910) 904-7173
Mailing address
646 WEST PROSPECT AVE, RAEFORD,, NC 28376
(910) 904-7172
(910) 904-7173
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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