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Mia Acosta
Student in an Organized Health Care Education/Training Program in South San Francisco, California
NPI 1841880242

Mia Acosta is a Student in an Organized Health Care Education/Training Program based in South San Francisco, CA. Mia Acosta practices in South San Francisco, CA. The NPI Number for Mia Acosta is 1841880242 and holds a License No. INTERN (California).

The current practice location address for Mia Acosta is 1486 Huntington Ave Ste 100, South San Francisco, CA and can be reached out via phone at 209-300-3611.

Location: 1486 Huntington Ave Ste 100, South San Francisco, CA, 94080-5971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841880242
Provider Name
Mia Acosta
Credential
Provider Entity Type
Individual
Gender
Female
Address
1486 Huntington Ave Ste 100, South San Francisco, CA, 94080-5971
Phone Number
209-300-3611
Fax Number
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1486 Huntington Ave Ste 100
City
South San Francisco
State
California
Zip
94080-5971
Phone Number
209-300-3611
Fax Number
person
Provider Business Mailing Address Details
Address
1486 Huntington Ave Ste 100
City
South San Francisco
State
California
Zip
94080-5971
Phone Number
209-300-3611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
INTERN (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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