Individual
JENNA MARIE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3024837
—
OH
Enumeration date
06/12/2009
Last updated
02/28/2020
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