Individual
TENIJAH INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2554 LEWISVILLE CLEMMONS RD STE 103, CLEMMONS, NC 27012-8749
(336) 794-6766
Mailing address
PO BOX 1238, CLEMMONS, NC 27012-1238
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15208
NC
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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