Individual
JOHANNA C ACEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12401 WASHINGTON BLVD, DEPT OF RADIOLOGY, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
PO BOX 511228, LOS ANGELES, CA 90051-3026
(562) 698-0811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP16057
CA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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