Individual
MS. JACQUELINE ANN MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.S.A
Contact information
Practice address
624 WICKWOOD DR, CHESAPEAKE, VA 23322-5875
(813) 854-1664
(813) 854-2244
Mailing address
624 WICKWOOD DR, CHESAPEAKE, VA 23322-5875
(813) 854-1664
(813) 854-2244
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3399
VA
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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