Individual
MS. JACQULYN C INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10607 DREXEL AVE, CLEVELAND, OH 44108-3604
(216) 299-5280
Mailing address
10607 DREXEL AVE, CLEVELAND, OH 44108-3604
(216) 299-5280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.023653
OH
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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