Individual
LEON ALAN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1695 SUNSET AVE, FAIRFIELD, CA 94533-4255
(707) 251-1241
Mailing address
999 MARSHALL RD APT 24, VACAVILLE, CA 95687-5757
(707) 439-6930
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
06/16/2026
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