Individual
ANDREA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 953-9373
Mailing address
1714 WESTWOOD PL, POMONA, CA 91768-1543
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
700359
CA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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