Individual
MR. MARK AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT, RCP
Contact information
Practice address
1043 THOMPSON AVE APT 3, GLENDALE, CA 91201-1792
(818) 644-7313
Mailing address
1043 THOMPSON AVE APT 3, GLENDALE, CA 91201-1792
(818) 644-7313
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
24865
CA
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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