Individual
ALIX NICOLE KROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
(951) 243-2018
Mailing address
28480 RIPPLE BROOK LN, MENIFEE, CA 92585-3329
(951) 388-9021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61799
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2022
Last updated
02/06/2024
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