KATHLEEN LARA ACOSTA ERESE

LA MESA, CA
NPI1558941567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  21391)
Enumeration Date2021-04-13
Last Update Date2021-04-13
Business Address
KATHLEEN LARA ACOSTA ERESE
5905 SEVERIN DR
LA MESA, CA 91942-3806
Phone number: 619-589-2606
Mailing Address
KATHLEEN LARA ACOSTA ERESE
5905 SEVERIN DR
LA MESA, CA 91942-3806
Phone number: