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Individual

MRS. STEPHANIE T MCINTOSH LUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
227 HANNAH'S REST, FREDERIKSTED, VI 00840-2852
(340) 626-4849
Mailing address
PO BOX 2852, FREDERIKSTED, VI 00841-2852
(340) 626-4849

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
VI
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
07/13/2022
Last updated
07/13/2022
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