Individual
BIANCA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, PSYCHOLOGY
Contact information
Practice address
563 BALBOA AVE. #521, SAN DIEGO, CA 92111
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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