Individual
MRS. MARY JO AMBROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7378
(218) 828-7686
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7378
(218) 828-7686
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1536
MN
Other
Enumeration date
12/12/2006
Last updated
09/18/2007
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