Individual
AMBROSE TUMAINI RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18523 CORWIN RD STE H, APPLE VALLEY, CA 92307-2300
(760) 242-3005
(760) 503-1375
Mailing address
15237 ELEVENTH ST STE A, VICTORVILLE, CA 92395-3736
(760) 662-7420
(760) 513-9000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61554
CA
Other
Enumeration date
10/10/2022
Last updated
08/30/2024
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