Individual
CHAKETHA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5333 B ST SE, WASHINGTON, DC 20019-6376
(202) 658-6287
Mailing address
4020 MINNESOTA AVE NE APT 586, WASHINGTON, DC 20019-3567
(202) 423-9325
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/27/2021
Last updated
11/27/2021
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