Individual
OLGA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6405 S 3000 E STE 100, HOLLADAY, UT 84121-6975
(310) 359-2931
Mailing address
6405 S 3000 E STE 100, HOLLADAY, UT 84121-6975
(310) 359-2931
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
126414444701
UT
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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