Individual
MARQUASIA ABRIANNA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CN0030088809
Contact information
Practice address
4869 LILY STEM DR, AUBURN, GA 30011-2144
(678) 907-4017
Mailing address
4869 LILY STEM DR, AUBURN, GA 30011-2144
(678) 907-4017
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030088809
GA
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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