KANEISHA INGRAM

JACKSON, MS
NPI1083975320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2678)
Enumeration Date2012-06-04
Last Update Date2012-06-04
Business Address
Miss KANEISHA INGRAM COTA
1873 LONGWOOD DR
JACKSON, MS 39212-2509
Phone number: 601-966-2418
Mailing Address
Miss KANEISHA INGRAM COTA
1873 LONGWOOD DR
JACKSON, MS 39212-2509
Phone number:
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