Individual
PROF. TANYA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 SHERATON DR APT 737, MACON, GA 31210-1339
(973) 641-2527
Mailing address
4501 SHERATON DR APT 737, MACON, GA 31210-1339
(973) 641-2527
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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