Individual
JIM TROMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 FRONTAGE RD STE 208, KENAI, AK 99611-9104
(907) 283-0809
Mailing address
805 FRONTAGE RD STE 208, KENAI, AK 99611-9104
(907) 283-0809
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM6101
STATE OF ALASKA
AK
Enumeration date
08/27/2009
Last updated
08/27/2009
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