Tanea Ingram

NPI #1154931558 in Dixon, California

Provider Information

NPI Number
1154931558
Entity Type
Individual
Name
Tanea Ingram
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Private Vehicle
Enumeration Date
Jul 31, 2020
Last Updated
Jul 31, 2020

Practice Location

Address
1285 STRATFORD AVE # G202
City
Dixon
ZIP Code
95620-2026
Phone
(707) 679-0321

Specialties & Taxonomy Codes

Specialty
Private Vehicle

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