Individual
PANANCY AMBROISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6921 ENVIRON BLVD APT 2S, LAUDERHILL, FL 33319-4209
(754) 281-5057
Mailing address
6921 ENVIRON BLVD APT 2S, LAUDERHILL, FL 33319-4209
(754) 281-5057
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
220401
FL
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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