Individual
MR. JACK ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6621 E PACIFIC COAST HWY STE 120, LONG BEACH, CA 90803-4244
(562) 414-5001
(562) 414-5002
Mailing address
6621 E PACIFIC COAST HWY STE 120, LONG BEACH, CA 90803-4244
(562) 414-5001
(562) 414-5002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77975
CA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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