ELIJAH INGRUM

SAN DIEGO, CA
NPI1124566328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  292757)
Enumeration Date2017-02-08
Last Update Date2017-02-08
Business Address
-- ELIJAH INGRUM
10325 SPRUCE GROVE AVE
SAN DIEGO, CA 92131-2218
Phone number: 858-335-2682
Mailing Address
-- ELIJAH INGRUM
10325 SPRUCE GROVE AVE
SAN DIEGO, CA 92131-2218
Phone number: 858-335-2682
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