Individual
OLIVIA JEANINE AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PARAMEDIC
Contact information
Practice address
1154 NC HIGHWAY 305, AULANDER, NC 27805-9662
(252) 642-5240
Mailing address
1154 NC HIGHWAY 305, AULANDER, NC 27805-9662
(252) 642-5240
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
32433662
NC
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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