Individual
JODY MARIE INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 ENGLISH ST, ILION, NY 13357-2505
(315) 985-1103
Mailing address
11 ENGLISH ST, ILION, NY 13357-2505
(315) 985-1103
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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