Individual
AMBROSHIA HOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4000
Mailing address
840 N OAK AVE, RULEVILLE, MS 38771-3227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
892011
MS
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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