Individual
JOSEPH ALBERT SANDOVAL-ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(530) 980-4945
Mailing address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-EJYMNU
CA
Other
Enumeration date
12/11/2024
Last updated
02/19/2025
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