Individual
MICHAEL ALEXANDER ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSA
Contact information
Practice address
1436 RIVERS EDGE TRCE, CHESAPEAKE, VA 23323-5749
(919) 766-1623
Mailing address
1436 RIVERS EDGE TRCE, CHESAPEAKE, VA 23323-5749
(919) 766-1623
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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