Individual
IVANA PEREIRA-AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPF
Contact information
Practice address
243 GEORGIA STREET, STE B, VALLEJO, CA 94590
(707) 556-8100
(707) 556-8107
Mailing address
2344 6TH ST, BERKELEY, CA 94710-2412
(510) 535-4000
(510) 535-4128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPF13601
CA
Other
Enumeration date
09/07/2006
Last updated
12/03/2020
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