Individual
ALYESHKA LIZ JUSINO- ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4000
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67149
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
08/28/2020
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