Samuel Ambrosia RN

NPI 1487826012 - Registered Nurse - 163W00000X

NPI Details
NPI 1487826012
Gender Male
Enumeration Date 03/24/2008
Last Updated 03/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
550 E WASHINGTON BLVD
SUITE 100
CRESCENT CITY CA, 95531-8160, US
Phone (707) 465-6925
Fax (707) 465-6070
Business Location
670 9TH ST
SUITE 203
ARCATA CA, 95521-6248, US
Phone (707) 826-8633
Fax (707) 826-8638
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 638898
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According to our database, Samuel Ambrosia RN NPI is 1487826012, taxonomy code is 163W00000X and license number is 638898, license state is located at California. Samuel Ambrosia RN physically located at 550 E Washington Blvd, Crescent City CA, 95531-8160. NPI Number Samuel Ambrosia RN has the Individual type.

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1487826012 NPI number is provided on an as is basis without warranty of any kind. 1487826012 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Ambrosia RN are for informational purposes only.