Individual
MS. TONIA DENISE AMBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10262 PAGE AVE, SAINT LOUIS, MO 63132-1322
(314) 395-9655
(314) 395-8655
Mailing address
10262 PAGE AVE, SAINT LOUIS, MO 63132-1322
(314) 395-9655
(314) 395-8655
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MO
373H00000X
Day Training/Habilitation Specialist
—
MO
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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