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Individual

MARIA D ACEVEDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
17782 COWAN STE A, IRVINE, CA 92614-6041
(949) 722-7118
Mailing address
11808 STUDEBAKER RD, NORWALK, CA 90650-7545
(562) 276-8544

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011905
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95011905
CA
Enumeration date
05/29/2019
Last updated
05/29/2019
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