Individual
DR. KRISTY AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6515 GEORGE WASHINGTON MEM HWY STE 102, YORKTOWN, VA 23692-2182
(757) 369-6623
(757) 369-6627
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001729
VA
152W00000X
Optometrist
5708
OH
Other
Enumeration date
08/31/2007
Last updated
09/11/2020
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