Keandra Moore Mcintosh

NPI #1124508577 in Jefferson, Texas

Provider Information

NPI Number
1124508577
Entity Type
Individual
Name
Keandra Moore Mcintosh
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Aug 15, 2018
Last Updated
Aug 15, 2018

Practice Location

Address
120 N WALNUT ST
State
Texas
ZIP Code
75657-1934
Phone
(903) 665-6131

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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