Individual
INGRAM COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3066 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-5050
(330) 310-8042
Mailing address
1894 BUCHTEL ST, TWINSBURG, OH 44087-2002
(330) 310-8042
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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