Individual
CRISTINA HERENDIRA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8354 E NORTHFIELD BLVD UNIT 3700, DENVER, CO 80238-3135
(602) 607-9812
Mailing address
24547 W HACIENDA AVE, BUCKEYE, AZ 85326-2094
(602) 607-9812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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