Individual
SHANNON E TRONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 946-5411
Mailing address
2309 4TH ST, ALTOONA, PA 16601-3801
(814) 949-0838
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1511149
HIGHMARK
PA
Enumeration date
01/04/2007
Last updated
07/08/2007
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