KENISHA ROSE INGRAM

SACRAMENTO, CA
NPI1366825648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: CA  1022166)
Enumeration Date2015-07-03
Last Update Date2015-07-03
Business Address
KENISHA ROSE INGRAM
3216 PAUMANOK WAY
SACRAMENTO, CA 95835-2450
Phone number: 916-470-7404
Mailing Address
KENISHA ROSE INGRAM
3216 PAUMANOK WAY
SACRAMENTO, CA 95835-2450
Phone number: 916-470-7404
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