XAVIER M AMBRIZ

Agent ID:	10452398
National Producer ID:	17737405
Mailing Address:	419 ZECCA DR
	GALLUP, NM 87301-4844
Resident State:	NM
Phone:	866-836-6162

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	9/17/2018	4/30/2026

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Accident & Health or Sickness	9/17/2018

Agent Appointments

5 Records Found

License Number	Company Name	Issue Date
7700103	CompBenefits Insurance Company	10/11/2019
8300077	Humana Insurance Company	9/21/2018
0900031	Humana Medical Plan, Inc.	9/21/2018
1600022	Humana Wisconsin Health Organization Insurance Corporation	9/21/2018
7700527	HumanaDental Insurance Company	9/21/2018