Individual
MS. NELLIE M ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
9910 LONG BEACH BLVD STE A, LYNWOOD, CA 90262-1561
(323) 563-8900
Mailing address
1121 E TUCKER ST, COMPTON, CA 90221-1282
(323) 246-3894
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
56812
CA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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