Individual
ALEXANDER ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2211
(415) 476-7527
Mailing address
230 S BROAD ST, GRIFFITH, IN 46319-3129
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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