Individual
MISS ANN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 ALLEN DR, FLORISSANT, MO 63033-5538
(314) 736-0794
Mailing address
2480 ALLEN DR, FLORISSANT, MO 63033-5538
(314) 736-0794
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC1388217
MO
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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