Individual
BRICIA N REYES ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
(323) 232-2366
Mailing address
4211 S AVALON BLVD, LOS ANGELES, CA 90011-0000
(323) 233-0425
(323) 232-2366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
78036
CA
Other
Enumeration date
08/13/2013
Last updated
12/19/2017
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