JACOB J AMBROSE

SAN DIEGO, CA
NPI1588149017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY34639)
Enumeration Date2018-10-01
Last Update Date2024-12-23
Business Address
JACOB J AMBROSE
1110 24TH ST APT 8
SAN DIEGO, CA 92102
Phone number: 619-728-4177
Mailing Address
JACOB J AMBROSE
1110 24TH STREET APT 8
SAN DIEGO, CA 92102-2000
Phone number: 619-728-4177