| NPI | 1639221500 |
|---|---|
| Former Legal Business Name | AMBROSE CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS F AMBROSE Owner 804-897-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001902) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-02-27 |