Individual
ALEXXIS VIRIDIANNA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 INDIANA AVE, RIVERSIDE, CA 92506-4290
(909) 599-1227
Mailing address
6700 INDIANA AVE, RIVERSIDE, CA 92506-4290
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
04/14/2021
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