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YSIDORA ACOSTA

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1811262066

Individual Registrant:
 YSIDORA  ACOSTA 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2621 OSWELL ST  BAKERSFIELD, CA 93306-3172 US
Tel: 661-868-6750  Fax: 661-868-6666

Contact information for business:
PO BOX 1000  BAKERSFIELD, CA 93302-1000 US
Tel: 661-868-6601  Fax: 661-868-6666

Registration Information:
NPI: 1811262066
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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