NPI 1003159682

Takeyra Raedawn Ingram

Practitioner Rehabilitation Practitioner North Las Vegas, NV

Practice location

Address: 205 Winley Chase Ave, North Las Vegas, NV 89032-1123
Phone: (702) 619-6884

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1003159682
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2013
Record last updated: 1 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.