Individual provider · NPI-1

Marilu Acosta

Technician, Attendant Care Provider · San Diego, CA

NPI number1699322156
StatusActive
Last updated in NPPESAug 20, 2019

Details

NPI
1699322156
Entity type
Individual (NPI-1)
Name
Mrs. Marilu Acosta
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 20, 2019
Last updated
Aug 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

4930 Wyconda Ln
San Diego, CA 92113-3565

Phone 619-586-0772

Mailing address

1060 La Rueda Dr
Vista, CA 92084-6520

Phone 760-532-1922

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