Individual
KESHA DENA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 TRINIDAD DR, DALLAS, TX 75232-2751
(708) 228-0308
Mailing address
2211 TRINIDAD DR, DALLAS, TX 75232-2751
(708) 228-0308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041380607
IL
163W00000X
Registered Nurse
28199135
IN
163W00000X
Registered Nurse
290289
TN
163W00000X
Registered Nurse
Primary
975404
TX
Other
Enumeration date
01/03/2018
Last updated
10/26/2025
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