Individual provider · NPI-1

Christina Louise Acevedo

Student in an Organized Health Care Education/Training Program · Riverside, CA

NPI number1316402118
StatusActive
Last updated in NPPESFeb 5, 2019

Details

NPI
1316402118
Entity type
Individual (NPI-1)
Name
Christina Louise Acevedo
Sex
Female
Sole proprietor
No
Enumeration date
Feb 5, 2019
Last updated
Feb 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3532 Monroe St
Riverside, CA 92504-6322

Phone 909-557-6396

Mailing address

374 W Woodcrest St
Rialto, CA 92376-7424

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