Individual
JENNY M AMBROSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 E LEIGH ST, RICHMOND, VA 23298-5004
(804) 628-5626
(804) 828-2157
Mailing address
15 W 7TH ST APT 505, RICHMOND, VA 23224-2398
(757) 287-2460
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110005830
VA
Other
Enumeration date
07/05/2017
Last updated
06/04/2024
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