Jaqueline D Intriago

NPI 1013281930 - Registered Nurse - 163W00000X

NPI Details
NPI 1013281930
Gender Female
Enumeration Date 02/24/2012
Last Updated 02/24/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1930 S BROAD ST
PHILADELPHIA PA, 19145-2328, US
Phone (215) 339-4563
Fax
Business Location
9951 ACADEMY RD APT A22
PHILADELPHIA PA, 19114-1527, US
Phone (215) 200-3299
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Pennsylvania
License Number RN602454
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According to our database, Miss Jaqueline D Intriago NPI is 1013281930, taxonomy code is 163W00000X and license number is RN602454, license state is located at Pennsylvania. Jaqueline D Intriago physically located at 1930 S Broad St, Philadelphia PA, 19145-2328. NPI Number Jaqueline D Intriago has the Individual type.

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1013281930 NPI number is provided on an as is basis without warranty of any kind. 1013281930 is maintained by the National Plan & Provider Enumeration System. The contents of Jaqueline D Intriago are for informational purposes only.