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Individual

MICHAEL J AMBROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9420 MORRISDALE WAY, MECHANICSVILLE, VA 23116-2321
(804) 658-9594
Mailing address
9420 MORRISDALE WAY, MECHANICSVILLE, VA 23116-2321
(804) 658-9594

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/14/2022
Last updated
02/14/2022
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