Individual
TRACEY AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MICHIGAN AVE NW, #1250, WASHINGTON, DC 20010-2916
(202) 476-5603
Mailing address
111 MICHIGAN AVE NW, #1250, WASHINGTON, DC 20010-2916
(202) 476-5603
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
01342
MD
231H00000X
Audiologist
2201001585
VA
231H00000X
Audiologist
8524877
TN
231H00000X
Audiologist
Primary
SLP000881
DC
Other
Enumeration date
01/27/2014
Last updated
04/28/2015
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