Individual
JOANNA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3050 KNOLLWOOD AVE, LA VERNE, CA 91750-3668
(323) 533-8675
Mailing address
3050 KNOLLWOOD AVE, LA VERNE, CA 91750-3668
(323) 533-8675
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
244742
CA
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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