Individual
AVIS INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3793 WINTER WHITETAIL ST, 3793 WINTER WHITETAIL ST, LAS VEGAS, NV 89122-3616
(702) 845-9887
Mailing address
3793 WINTER WHITETAIL ST, LAS VEGAS, NV 89122-3616
(702) 845-9887
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
NV
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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