Individual
CHRISTINA JOHANNA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3779 HUNTMERE AVE, AUSTINTOWN, OH 44515-3144
(330) 318-2715
Mailing address
3779 HUNTMERE AVE, AUSTINTOWN, OH 44515-3144
(330) 318-2715
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.170858.MEDS-IV
OH
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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