Individual
AMBRIELLE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 S 114TH ST, OMAHA, NE 68137-6314
(402) 215-9121
Mailing address
4940 S 114TH ST, OMAHA, NE 68137-6314
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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