Individual
KALANI LAURA INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
6474 E PLACITA MADERA ANTIGUA, SAHUARITA, AZ 85629-9184
(520) 539-4008
Mailing address
6474 E PLACITA MADERA ANTIGUA, SAHUARITA, AZ 85629-9184
(520) 539-4008
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-120
AZ
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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