Provider Demographics
NPI:1902404841
Name:TROMCZYNSKI, ALANNAH
Entity Type:Individual
Prefix:
First Name:ALANNAH
Middle Name:
Last Name:TROMCZYNSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23430 VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-9316
Mailing Address - Country:US
Mailing Address - Phone:909-665-5466
Mailing Address - Fax:
Practice Address - Street 1:41080 CALIFORNIA OAKS RD STE 17
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5749
Practice Address - Country:US
Practice Address - Phone:909-665-5466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39560225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist