LAUREL ALEXIS AMBROSE

RICHMOND, VA
NPI1104315910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA  0102205939)
Enumeration Date2018-05-07
Last Update Date2024-01-08
Business Address
LAUREL ALEXIS AMBROSE
501 N 2ND ST FL 3
RICHMOND, VA 23219-1359
Phone number: 804-828-9452
Mailing Address
LAUREL ALEXIS AMBROSE
PO BOX 780125
PHILADELPHIA, PA 19178-0125
Phone number: 804-922-4844