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Individual
MRS. NELKY AWILDA AMBROSE
Active
Individual
MRS. NELKY AWILDA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
566269
CA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
566269
CA
163WE0003X
Emergency Registered Nurse
566269
CA
163WH0200X
Home Health Registered Nurse
566269
CA
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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