Individual
MRS. JULIE AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
63 LAUREL AVE, BRADFORD, MA 01835-7270
(978) 500-9124
Mailing address
63 LAUREL AVE, BRADFORD, MA 01835-7270
(978) 500-9124
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
61548
MA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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