Individual
PAMELA JEAN AMBROZAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2060 17 1/4 AVE, RICE LAKE, WI 54868-8630
(715) 651-1164
Mailing address
2060 17 1/4 AVE, RICE LAKE, WI 54868-8630
(715) 651-1164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173700-30
WI
164W00000X
Licensed Practical Nurse
311489-031
WI
Other
Enumeration date
06/24/2010
Last updated
07/07/2010
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