Individual
ANASTAZIA ANGELIQUE ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(888) 632-1085
(231) 932-4118
Mailing address
640 SOUTH STATE STREET, DOVER, DE 19901-3530
(888) 632-1085
(231) 932-4118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000745
DE
Other
Enumeration date
02/02/2011
Last updated
10/12/2012
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