Individual
ADRIANA JANETH AVILA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 576-3525
Mailing address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 576-3525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10037613
TX
Other
Enumeration date
06/27/2011
Last updated
03/07/2014
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