Individual
MS. GLORIA RUBIO ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4230 1/2 W 101ST ST, INGLEWOOD, CA 90304-1542
(310) 709-5652
Mailing address
18646 OXNARD ST., TARZANA, CA 91356
(310) 709-5652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
N2484279
CA
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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