Lara Acedillo

NPI #1720475577 in Millbrae, California

Provider Information

NPI Number: 1720475577
Entity Type: Individual
Name: Lara Acedillo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 20, 2015
Last Updated: Apr 20, 2015

Practice Location

Address: 165 DEL CENTRO
City: Millbrae
State: California
ZIP Code: 94030-2162
Phone: (650) 302-4473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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