Angel Patrice Ingram

NPI #1003241944 in Las Vegas, Nevada

Provider Information

NPI Number
1003241944
Entity Type
Individual
Name
Angel Patrice Ingram
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Sep 11, 2013
Last Updated
Sep 11, 2013

Practice Location

Address
4730 E CRAIG RD
Address 2
#2144
State
Nevada
ZIP Code
89115-2591
Phone
(702) 721-2156

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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