Most Relevant Information
Provider Data
| NPI Number: | 1003287640 |
| Provider Name: | ANTIONETTE INGRAHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/08/2015 |
| Last Updated: | 10/08/2015 |
Provider Practice Location
901 1ST ST NW
WASHINGTON
DC
200011403
Practice Location Phone/Fax
| Phone: | 2022823005 |
| Fax: |
Provider Mailing Location
901 1ST ST NW
WASHINGTON
DC
200011403
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |