jessica ambrose
Physician Assistant at Pt Clear Dr, Fort Mill, SC

License number
Florida 9110160
Issued Date
Jan 17, 2017
Effective Date
Jan 17, 2017
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
3062 Point Clear Dr, Fort Mill, SC 29708
151 E Redstone Ave, Crestview, FL 32539
Phone
(803) 517-9144

Organization information

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JESSICA AMBROSE, LLC

1750 Hwy 160 W STE 101-300, Fort Mill, SC 29708

Registration:
Feb 11, 2015
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
Jessica Ambrose