Individual
ADAN AMBROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 W 4TH ST, SAN BERNARDINO, CA 92415-3905
(909) 382-9899
Mailing address
1330 E COOLEY DR, COLTON, CA 92324-3905
(909) 580-3758
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
04/14/2025
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