Individual
ZEDELINE AMBOMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 516-5737
Mailing address
1013 ANDEAN GOOSE WAY, UPPER MARLBORO, MD 20774-7129
(202) 723-0304
(202) 723-0367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500009748
DC
164W00000X
Licensed Practical Nurse
LPN20000002
DC
Other
Enumeration date
09/28/2016
Last updated
12/10/2024
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