Individual
EVETTE RENEE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1581 E COLORADO BLVD, PASADENA, CA 91106-2132
(626) 639-3077
Mailing address
1581 E COLORADO BLVD, PASADENA, CA 91106-2132
(818) 220-4563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/17/2020
Last updated
07/07/2020
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