Individual
JEANETTE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13646 CA-33, LOST HILLS, CA 93249
(661) 797-6607
Mailing address
15020 WAYNE LEE CT, BAKERSFIELD, CA 93314-8245
(661) 910-4013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95021241
CA
Other
Enumeration date
10/19/2021
Last updated
07/18/2023
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