Individual
ISA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4150 V ST STE 1200, SACRAMENTO, CA 95817-1460
(916) 413-6625
Mailing address
3940 H ST APT 207, SACRAMENTO, CA 95819-2759
(916) 413-6625
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 12674
CA
Other
Enumeration date
03/23/2011
Last updated
07/08/2022
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