Individual
CHARLENE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10801 6TH ST STE 108016TH, RANCHO CUCAMONGA, CA 91730-5977
(909) 819-8972
(951) 756-4116
Mailing address
10801 6TH ST STE 120, RANCHO CUCAMONGA, CA 91730-5987
(800) 440-4347
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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