Individual
LUIS ANGEL ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10474 MATHER BLVD, MATHER, CA 95655-4116
(916) 228-2500
Mailing address
10474 MATHER BLVD, MATHER, CA 95655-4116
(916) 228-2500
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
BB6BA2B641
CA
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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