Individual
OMAR KAHILIL AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 S 70TH ST APT 1, LINCOLN, NE 68506-2905
(614) 946-6855
Mailing address
14830 OLD CHENEY RD, WALTON, NE 68461-9662
(614) 946-6855
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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