Individual
ANGELA MARIE D'AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10321 DEVONSHIRE LN, WESTCHESTER, IL 60154-2511
(708) 990-3690
Mailing address
10321 DEVONSHIRE LN, WESTCHESTER, IL 60154-2511
(708) 990-3690
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
ATHLETIC TRAINER
—
Enumeration date
10/18/2018
Last updated
10/18/2018
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