Individual
LIBNI AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N JACKSON ST, GLENDALE, CA 91206-4334
(818) 241-3111
Mailing address
223 N JACKSON ST, GLENDALE, CA 91206-4334
(818) 241-3111
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2363
CA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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