MISS Jaqueline D Intriago
NPI #1013281930 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1013281930
- Entity Type
- Individual
- Name
- MISS Jaqueline D Intriago
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Feb 24, 2012
- Last Updated
- Feb 24, 2012
Practice Location
- Address
- 1930 S BROAD ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19145-2328
- Phone
- (215) 339-4563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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