MS. Tiffani Ellis-Ingram
NPI #1245698398 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1245698398
- Entity Type
- Individual
- Name
- MS. Tiffani Ellis-Ingram
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- Feb 3, 2016
- Last Updated
- Feb 3, 2016
Practice Location
- Address
- 6484 ROSS ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19119-2333
- Phone
- (267) 269-4248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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