Takeyra Raedawn Ingram
NPI #1003159682 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1003159682
- Entity Type
- Individual
- Name
- Takeyra Raedawn Ingram
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Apr 1, 2013
- Last Updated
- Apr 1, 2013
Practice Location
- Address
- 205 WINLEY CHASE AVE
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89032-1123
- Phone
- (702) 619-6884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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