Individual
MRS. DEANNA JAQUITA AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
CARL R. DARNALL ARMY MEDICAL CENTER, 36000DARNALL LOOP, FORT HOOD, TX 76544
(254) 780-9656
Mailing address
146 GREAT WEST LOOP, BELTON, TX 76513-9015
(254) 780-9656
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
155769
TX
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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