Individual
AGNES AMBROCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 S VERMONT AVE, LOS ANGELES, CA 90020-1807
(213) 381-5257
Mailing address
5332 RUSSELL AVE APT 207, LOS ANGELES, CA 90027-3567
(323) 891-4032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
89263
CA
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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