Individual
THERESSA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4852 J R CT, ROYSE CITY, TX 75189-8109
(575) 200-8382
Mailing address
4852 J R CT, ROYSE CITY, TX 75189-8109
(575) 200-8382
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
349904
TX
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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