MARISSA INGRAM

SANTA ROSA, CA
NPI1235834383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2023-03-30
Last Update Date2025-07-17
Business Address
MARISSA INGRAM
100 CHILDRENS CIR
SANTA ROSA, CA 95409-6558
Phone number: 707-565-6322
Mailing Address
MARISSA INGRAM
100 CHILDRENS CIR
SANTA ROSA, CA 95409-6558
Phone number: 707-565-6322