Individual
MRS. JEANNE MARIE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
10301 CRANDON PARK DR, BAKERSFIELD, CA 93312-6327
(661) 587-2600
Mailing address
10301 CRANDON PARK DR, BAKERSFIELD, CA 93312-6327
(661) 587-2600
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN194430
CA
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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