Individual
HUMBERTO ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
102 S SIDNEY AVE STE A, RUSSELLVILLE, AR 72801-5348
(509) 388-5329
Mailing address
PO BOX 393, RUSSELLVILLE, AR 72811-0393
(509) 388-5329
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
P16332
AR
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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