Individual
ACASHA WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
Mailing address
892 27TH ST, SAN DIEGO, CA 92154-1444
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
05/25/2026
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