Provider Demographics
NPI:1922717214
Name:INGLES, ROCIO ELIZABETH
Entity Type:Individual
Prefix:
First Name:ROCIO
Middle Name:ELIZABETH
Last Name:INGLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-7365
Mailing Address - Country:US
Mailing Address - Phone:919-381-8157
Mailing Address - Fax:
Practice Address - Street 1:1117 HICKORY DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-7365
Practice Address - Country:US
Practice Address - Phone:919-381-8157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program