Individual
JUDITH ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31946 MISSION TRL STE B, LAKE ELSINORE, CA 92530-4539
(951) 245-7663
Mailing address
31946 MISSION TRL STE B, LAKE ELSINORE, CA 92530-4539
(951) 245-7663
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
06/04/2024
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