Individual
DR. MICAH A MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
4060 ESTATE, 23 BEESTON HILL, CHRISTIANSTED, VI 00820
(340) 778-8888
Mailing address
PO BOX 8326, CHRISTIANSTED, VI 00823-8326
(340) 642-9191
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2-51329-1L
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-51329-1L
THE GOVERNMENT OF THE VIRGIN ISLANDS
VI
Enumeration date
06/24/2022
Last updated
06/24/2022
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