Individual
EBONY DAWANA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5241 MONTGOMERY RD, CINCINNATI, OH 45212
(513) 419-9435
Mailing address
533 WAYCROSS RD, CINCINNATI, OH 45240-3935
(513) 419-9435
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.170378.MEDS-IV
OH
Other
Enumeration date
09/04/2024
Last updated
09/05/2024
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