Individual
VALERIE D'AMBROSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2065 HALF DAY RD # T565, DEERFIELD, IL 60015-1241
(352) 442-2985
Mailing address
3045 PAAS POND LN, COTTONDALE, FL 32431-7179
(352) 442-2985
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
D516876938610
FL
390200000X
Student in an Organized Health Care Education/Training Program
D516876938610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
STUDENT
IL
Enumeration date
08/24/2016
Last updated
08/24/2016
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