Individual
GENEQUA INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225
(804) 483-0000
Mailing address
10422 RUNNING CEDAR LN APT 303, FREDERICKSBURG, VA 22407-8253
(803) 308-0700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235946
SC
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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