Individual
AMBROSIA WELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 N MAIN ST, SPRING VALLEY, NY 10977-4906
(844) 828-2666
Mailing address
24 MEYER AVE, POUGHKEEPSIE, NY 12603-3005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341067
NY
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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