Individual
GENI A ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
4140 W MORTEN AVE, PHOENIX, AZ 85051-7334
(602) 716-1457
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D02075550
AZ
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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