Individual
KATHLEEN AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3142 TRENHOLM DR, OAKTON, VA 22124-1328
(703) 627-4499
Mailing address
3142 TRENHOLM DR, OAKTON, VA 22124-1328
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86296776
VA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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