Individual
STEPHANIE MCINTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
685 OLIVE ST, SALEM, OH 44460-4219
(330) 332-2967
Mailing address
685 OLIVE ST, SALEM, OH 44460-4219
(330) 332-2967
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401552010713
OH
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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