Individual
JAIME INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25062 S 190TH ST, QUEEN CREEK, AZ 85142-5668
(480) 329-0707
Mailing address
25062 S 190TH ST, QUEEN CREEK, AZ 85142-5668
(480) 329-0707
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
AZ
172V00000X
Community Health Worker
Primary
—
AZ
Other
Enumeration date
01/16/2023
Last updated
04/26/2023
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