Individual
TANYA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 MASS AVE NW, WASHINGTON, DC 20016-5105
(202) 847-7389
Mailing address
5736 3RD ST NW, WASHINGTON, DC 20011-2113
(202) 847-7389
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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