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Individual

ATHENA TROMBLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1140 W LA VETA AVE STE 700, ORANGE, CA 92868-4229
(714) 547-5404
Mailing address
1140 W LA VETA AVE STE 700, ORANGE, CA 92868-4229

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95012177
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
330150193
MEDICAL
CA
Enumeration date
04/25/2017
Last updated
09/12/2023
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