Organization
RALPH AMBROISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH AMBROISE LPN (LPN)
(617) 312-1961
Entity
Organization
Contact information
Practice address
164 RIVERVIEW ST, BROCKTON, MA 02302-4033
(617) 312-1961
Mailing address
164 RIVERVIEW ST, BROCKTON, MA 02302-4033
(617) 312-1961
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN66605
MA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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