Individual
EDWINA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VIKING WAY, CINCINNATI, OH 45246-1138
(513) 864-2070
Mailing address
200 VIKING WAY, CINCINNATI, OH 45246-1138
(513) 864-2070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN054364
OH
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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