Individual
MS. CARMEN MELANIE MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
526 SOQUEL AVE, STE. D, SANTA CRUZ, CA 95062-2321
(831) 359-6286
Mailing address
3400 KENILWORTH LN, SANTA CRUZ, CA 95065-1662
(831) 359-6286
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 8728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC0087280
MEDICAL
CA
Enumeration date
05/24/2007
Last updated
07/08/2007
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