Individual
TAMMY D INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(575) 887-9579
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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