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NPI Profile for SANDRA A AMBROSE in BROCKTON, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI Number | 1407918758 |
|
| Status | Active | |
| Credentials | NUTRITIONIST | |
| Entity | Individual | |
| Enumeration date | 12/14/2006 | |
| Last updated | 05/27/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SANDRA A AMBROSE
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SANDRA A AMBROSE, NUTRITIONIST