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MR. JARED LEE ACEVEDO DPT
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1093043846
Individual Registrant:MR. JARED LEE ACEVEDO DPT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
17873 BALFERN AVE BELLFLOWER, CA 90706-7154 US
Tel: 562-301-8744 Fax: --
Tel: 562-301-8744 Fax: --
Contact information for business:
17873 BALFERN AVE BELLFLOWER, CA 90706-7154 US
Tel: 562-301-8744 Fax: --
Tel: 562-301-8744 Fax: --
Registration Information:
NPI: 1093043846
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program | CA | 36216 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
