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Individual

CELESTE ACOSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 381-6800
Mailing address
409 RIVERSIDE AVE, CHOWCHILLA, CA 93610-2438
(559) 223-1317

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
CA
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
CA
Enumeration date
11/21/2022
Last updated
11/21/2022
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