Individual
CALI INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 N HALAGUENO ST, CARLSBAD, NM 88220-5022
(575) 499-6613
Mailing address
406 N HALAGUENO ST, CARLSBAD, NM 88220-5022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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