Individual
MERCIE VANESSA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 E SAN JACINTO AVE, PERRIS, CA 92571-2833
(951) 715-5040
Mailing address
450 E SAN JACINTO AVE, PERRIS, CA 92571-2833
(951) 715-5040
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-MSLPJK
CA
Other
Enumeration date
11/20/2023
Last updated
01/05/2024
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