Individual
AMBRE JAMARRA FOUGEROUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3991 STONE MOUNTAIN HWY, SNELLVILLE, GA 30039-3929
(678) 786-8677
Mailing address
218 PASADENA AVE S, ST PETERSBURG, FL 33707-1251
(941) 961-3303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5491
GA
363A00000X
Physician Assistant
PA9106967
FL
Other
Enumeration date
12/23/2008
Last updated
01/29/2025
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