Individual
MISS ALEXIS V AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
483 AUTUMNWOOD DR, APT. A, TIFFIN, OH 44883-1870
(419) 618-7954
Mailing address
483 AUTUMNWOOD DR, APT. A, TIFFIN, OH 44883-1870
(419) 618-7954
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 122275
OH
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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