Individual
AMBRASA N BURNOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 ALMEDA RD, HOUSTON, TX 77004-5655
(409) 548-2512
Mailing address
2475 GRAY FALLS DR APT 128, HOUSTON, TX 77077-6518
(409) 548-2512
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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