Individual
SANDRA LYNN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 LACEY DRIVE, BANDERA, TX 78003
(830) 688-1749
Mailing address
P O BOX 2823, BANDERA, TX 78003
(210) 843-2648
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
NA06663692
TX
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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