Individual
RHONDA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E NORTH COVE RD, SHELTON, WA 98584-8875
(941) 270-2242
Mailing address
240 E NORTH COVE RD, SHELTON, WA 98584-8875
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA69418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA69418
MASSAGE THERAPIST
FL
Enumeration date
10/13/2014
Last updated
10/13/2014
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