Individual
ALYSSA PFANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, EMT
Contact information
Practice address
3420 SAXONVILLE WAY, ANTELOPE, CA 95843-4423
(916) 505-0667
Mailing address
3420 SAXONVILLE WAY, ANTELOPE, CA 95843-4423
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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