Individual
CRYSTAL CHRISTINE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S SUNRISE WAY, PALM SPRINGS, CA 92262-0118
(760) 834-3593
Mailing address
30374 MONTE VISTA WAY, THOUSAND PALMS, CA 92276-2939
(760) 219-9137
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
688903
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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