Individual
ANNA REYNA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(800) 825-5437
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
95027348
CA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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