Individual
MS. BERNADETH JOY ACOSTA
Active
Individual
MS. BERNADETH JOY ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
715385
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346892093
—
CA
Enumeration date
01/08/2024
Last updated
08/27/2024
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