Individual
ELIZABETH AMBROCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4090 E EDISON RD, SUNNYSIDE, WA 98944-9639
(509) 837-5453
Mailing address
4090 E EDISON RD, SUNNYSIDE, WA 98944-9639
(509) 837-5453
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2008
Last updated
01/13/2012
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