Individual
YESENIA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 11TH AVE, UNIT L-46, GREELEY, CO 80631-6405
(970) 573-2776
Mailing address
715 25TH AVE, GREELEY, CO 80634-5927
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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