Provider Demographics
NPI:1972827418
Name:TRIONE, ANN MARIE (LAC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARIE
Last Name:TRIONE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:DEAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1688 WILLOW ST STE B
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5109
Mailing Address - Country:US
Mailing Address - Phone:408-279-9001
Mailing Address - Fax:408-279-9004
Practice Address - Street 1:1688 WILLOW ST STE B
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5109
Practice Address - Country:US
Practice Address - Phone:408-279-9001
Practice Address - Fax:408-279-9004
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13442171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1972827418Medicaid